Organization
PROFESSIONAL HOME CARE, INC.
Active
Organization
PROFESSIONAL HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH CERRA (PRESIDENT AND CEO)
(607) 763-5600
Entity
Organization
Contact information
Practice address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 336-5130
(607) 336-5131
Mailing address
4401 VESTAL PKWY E, SUITE 2, VESTAL, NY 13850-3514
(607) 763-5600
(607) 763-5582
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01762014
—
NY
Enumeration date
12/14/2006
Last updated
03/14/2012
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