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Organization
ROCKAWAY HOME ATTENDANT SERVICES, INC
Active
Organization
ROCKAWAY HOME ATTENDANT SERVICES, INC
Active
Parent organization
ROCKAWAY HOME ATTENDANT SERVICES, INC.
Other names
ROCKAWAY CDPAP HOME CARE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROCKAWAY HOME ATTENDANT SERVICES, INC.
Authorized official
MR. ENOSA AIBANGBEE (EXECUTIVE DIRECTOR)
(718) 471-5800
Entity
Organization
Contact information
Practice address
1603 CENTRAL AVE STE 200, FAR ROCKAWAY, NY 11691-4003
(718) 471-5800
Mailing address
1603 CENTRAL AVE STE 200, FAR ROCKAWAY, NY 11691-4003
(718) 471-5800
(718) 327-0001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
9696L001
NY
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04594258
—
NY
Enumeration date
07/12/2017
Last updated
12/04/2018
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