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Organization
VAND V HEALTHCARE SERVICE
Active
Organization
VAND V HEALTHCARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERONICA D BUCKLES (OWNER)
(516) 580-6739
Entity
Organization
Contact information
Practice address
132 WEST MERRICK ROAD, BX 7451, FREEPORT, NY 11520-7451
(516) 580-6739
(516) 280-8606
Mailing address
P.O. BOX 7451, 7451, FREEPORT, NY 11520-7451
(516) 580-6739
(516) 280-8606
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251T00000X
PACE Provider Organization
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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