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Organization
JSP LIFE AGENCY INC.
Active
Organization
JSP LIFE AGENCY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVELISSE MARIA CRUZ RN (DIRECTOR OF PATIENTS SERVICE)
(718) 944-4705
Entity
Organization
Contact information
Practice address
279 E. 204TH ST., 2ND FLOOR, BRONX, NY 10467-3225
(718) 944-4705
(718) 944-5257
Mailing address
279-281 E. 204TH STREET, 2ND FLOOR, BRONX, NY 10467
(718) 944-4705
(718) 944-5257
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1169L001
NY
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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