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Organization
CROWN OF LIFE NY LLC
Active
Organization
CROWN OF LIFE NY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MORALES (ADMINISTRATOR)
(718) 475-2323
Entity
Organization
Contact information
Practice address
1368 60TH ST, BROOKLYN, NY 11219-5018
(718) 475-2333
(718) 475-2323
Mailing address
1368 60TH ST, BROOKLYN, NY 11219-5018
(718) 475-2333
(718) 475-2323
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2662L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04609894
—
NY
Enumeration date
12/20/2016
Last updated
09/26/2025
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