Organization
HOMETECH REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIGA GAMBASHIDZE (CEO)
(646) 379-0072
Entity
Organization
Contact information
Practice address
1556 W 8TH ST APT 2, BROOKLYN, NY 11204-6503
(646) 379-0072
Mailing address
1556 W 8TH ST APT 2, BROOKLYN, NY 11204-6503
(646) 379-0072
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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