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Organization
MATT FAMILY RESIDENCY
Active
Organization
MATT FAMILY RESIDENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANTZ R MATHIEU NP (EXECUTIVE DIRECTOR)
(516) 643-6233
Entity
Organization
Contact information
Practice address
59 ARDMOUR DR, MASTIC, NY 11950-2017
(516) 643-6233
(631) 657-3699
Mailing address
59 ARDMOUR DR, MASTIC, NY 11950-2017
(516) 643-6233
(631) 657-3699
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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