Organization
PRINCIPLE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA B GUILLAUME (GENERAL MANAGER)
(914) 912-0710
Entity
Organization
Contact information
Practice address
134 PONINGO ST, PORT CHESTER, NY 10573-4010
(914) 912-0710
Mailing address
134 PONINGO ST, PORT CHESTER, NY 10573-4010
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1524L001
NY
251E00000X
Home Health Agency
Primary
1524L002
NY
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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