Organization
ELITE SERVICES NY INC DBA:BROADWAY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MAE CARROLL (DPS)
(518) 605-9403
Entity
Organization
Contact information
Practice address
106 W MAIN ST FL 2, JOHNSTOWN, NY 12095-2307
(515) 186-0594
Mailing address
106 W MAIN ST, JOHNSTOWN, NY 12095-2307
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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