Organization
OLOM HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BALKO (SR./VP CHIEF FINANCIAL OFFICER)
(718) 491-7221
Entity
Organization
Contact information
Practice address
440 9TH AVE, 14TH FLOOR, NEW YORK, NY 10001-1620
(212) 356-5343
(212) 356-5420
Mailing address
6323 7TH AVE, BROOKLYN, NY 11220-4742
(718) 630-2510
(718) 759-4291
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5902610
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02228971
—
NY
Enumeration date
07/07/2006
Last updated
10/04/2010
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