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Organization
HOME INSTEAD REHABILITATION SERVICES LLC
Active
Organization
HOME INSTEAD REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MANGAN PT (OWNER)
(516) 317-9593
Entity
Organization
Contact information
Practice address
106 FREDERICK ST, OCEANSIDE, NY 11572-4709
(516) 317-9593
Mailing address
106 FREDERICK ST, OCEANSIDE, NY 11572-4709
(516) 317-9593
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014577-1
NY
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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