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Organization
CROWNE OF LIFE CARE, INC.
Active
Organization
CROWNE OF LIFE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINE C WALKER (ADMINISTRATOR)
(718) 475-2333
Entity
Organization
Contact information
Practice address
4626 NEW UTRECHT AVE, BROOKLYN, NY 11219-2553
(718) 475-2333
(718) 475-2323
Mailing address
4626 NEW UTRECHT AVE, BROOKLYN, NY 11219-2553
(718) 475-2333
(718) 475-2323
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1180L001
NY
251J00000X
Nursing Care Agency
02812628
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02812628
—
NY
Enumeration date
08/23/2007
Last updated
03/21/2014
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