Organization
AH CHARM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA M LAKE (PRESIDENT)
(516) 754-9981
Entity
Organization
Contact information
Practice address
2014 GRAND AVE, NORTH BALDWIN, NY 11510-2811
(516) 754-9981
Mailing address
2014 GRAND AVE, NORTH BALDWIN, NY 11510-2811
(516) 754-9981
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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