Organization
TAYLOR MADE HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA LYNETTE BAKER (OWNER)
(516) 744-6161
Entity
Organization
Contact information
Practice address
1389 HEMPSTEAD TPKE, ELMONT, NY 11003-2546
(516) 744-6161
(516) 775-6160
Mailing address
1389 HEMPSTEAD TPKE, ELMONT, NY 11003-2546
(516) 744-6161
(516) 775-6160
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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