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Organization
ABC HOME CARE, INC.
Active
Organization
ABC HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIROSLAVA KAUTSIS (PRESIDENT)
(718) 333-0004
Entity
Organization
Contact information
Practice address
86 W 183RD ST, BRONX, NY 10453-1212
(718) 333-0004
Mailing address
86 W 183RD ST, BRONX, NY 10453-1212
(718) 333-0004
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1691L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1691L001
NY DOH
NY
Enumeration date
05/06/2016
Last updated
05/06/2016
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