Organization
BALM OF GILEAD HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY EMILI (CEO)
(718) 944-1776
Entity
Organization
Contact information
Practice address
3515 EASTCHESTER RD, BRONX, NY 10469-1670
(718) 944-1776
Mailing address
3515 EASTCHESTER RD, BRONX, NY 10469-1670
(718) 944-1776
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0992L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02204135
—
NY
Enumeration date
07/18/2007
Last updated
07/18/2007
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