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Organization
ASSISTED HOME CARE, LLC
Active
Organization
ASSISTED HOME CARE, LLC
Active
Other names
Prime Assisted Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER DOULOS (CEO)
(718) 646-1900
Entity
Organization
Contact information
Practice address
3125 EMMONS AVE, BROOKLYN, NY 11235-1724
(718) 646-1900
(718) 646-2254
Mailing address
3125 EMMONS AVE, BROOKLYN, NY 11235-1724
(718) 646-1900
(718) 646-2254
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2160L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04474264
CDPAP MC FISCAL INTERMED
NY
01
—
2160L001
LICENSE
NY
Enumeration date
11/07/2016
Last updated
11/07/2016
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