Organization
WAVECREST HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY EDELMAN (CEO)
(917) 692-6541
Entity
Organization
Contact information
Practice address
242 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3618
(718) 916-7949
Mailing address
242 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3618
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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