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Organization
PROLIFE HOME CARE, INC.
Active
Organization
PROLIFE HOME CARE, INC.
Active
Other names
ADC
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIIA RYBAKOVA (PRESIDENT)
(718) 232-2777
Entity
Organization
Contact information
Practice address
7701 BAY PKWY STE 1F, BROOKLYN, NY 11214-1541
(718) 232-2777
(718) 232-2778
Mailing address
7701 BAY PKWY STE 1F, BROOKLYN, NY 11214-1541
(718) 232-2777
(718) 232-2778
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2572L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04682179
—
NY
01
—
1861939738
NPI
NY
Enumeration date
04/28/2017
Last updated
04/28/2017
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