Organization
MED AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY MAMIYE NP (NP)
(718) 208-6747
Entity
Organization
Contact information
Practice address
613 MYRTLE AVE, ALLENHURST, NJ 07711-1360
(718) 208-6747
Mailing address
613 MYRTLE AVE, ALLENHURST, NJ 07711-1360
(718) 208-6747
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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