Organization
JAMAICA ACQUISITION III LLC
Active
Other names
Hillside Certified Home Health Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
PASQUALE DEBENDICTIS (MANAGER / MEMBER)
(516) 422-7818
Entity
Organization
Contact information
Practice address
3155 GRACE AVE, BRONX, NY 10469-3134
(718) 291-3500
Mailing address
3155 GRACE AVE, BRONX, NY 10469-3134
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04057365
—
NY
Enumeration date
10/12/2017
Last updated
10/12/2017
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