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Organization
POLO CARE INC
Active
Organization
POLO CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAY WILLIAMS (MANAGER)
(718) 206-3500
Entity
Organization
Contact information
Practice address
9050 PARSONS BLVD STE 304, JAMAICA, NY 11432-6052
(718) 304-3349
(718) 206-3504
Mailing address
PO BOX 678, LYNBROOK, NY 11563-0678
(718) 206-3500
(718) 206-3504
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1917L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04338336
—
NY
Enumeration date
02/23/2017
Last updated
02/23/2017
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