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Organization
SOUTH BEACH PSYCH CENTER(OMH)
Active
Organization
SOUTH BEACH PSYCH CENTER(OMH)
Active
Parent organization
HOME HEALTH CARE
Other names
South Beach Psychiatric Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOME HEALTH CARE
Authorized official
MR. LANCE L GOLDSON SOCIAL WORKER ASST 3 (ICM)
(718) 668-8082
Entity
Organization
Contact information
Practice address
777 SEAVIEW AVENUE, HEALTH HOME CARE DEPT, STATEN ISLAND, NY 10305
(718) 668-8082
(718) 668-8070
Mailing address
777 SEAVIEW AVENUE, HEALTH HOME CARE DEPT., STATEN ISLAND, NY 10305
(718) 668-8082
(718) 668-8070
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00769306
—
NY
Enumeration date
03/30/2016
Last updated
07/21/2022
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