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Organization
HOMECARE SERVICES FOR IND. LIVING
Active
Organization
HOMECARE SERVICES FOR IND. LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLADYS V CONFIDENT BSN.MHS.MA. RN (PROGRAM DIRECTOR)
(718) 627-1150
Entity
Organization
Contact information
Practice address
2044 OCEAN AVE, SUITE-B4, BROOKLYN, NY 11230-7328
(718) 627-1150
(718) 627-2165
Mailing address
2044 OCEAN AVE, SUITE-B4, BROOKLYN, NY 11230-7328
(718) 627-1150
(718) 627-2165
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9988L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00921068
—
NY
Enumeration date
04/06/2007
Last updated
08/22/2020
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