# FULL SERVICE HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548582513
- **Authorized official:** DARLENE LAROSE (PRESIDENT)
- **Authorized official phone:** (917) 447-6211

## Contact information

- **Practice address:** 4517 MONTICELLO AVE, BRONX, NY 10466-1029
- **Practice address phone:** (917) 447-6211
- **Mailing address:** 4517 MONTICELLO AVE, BRONX, NY 10466-1029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NY | Yes |
| 251J00000X | Nursing Care Agency | — | — | — |

## Other

- **Enumeration date:** 02/18/2010
- **Last updated:** 02/18/2010