Organization
RESTORE CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICODEMUS MUELA (PRESIDENT)
(256) 694-6587
Entity
Organization
Contact information
Practice address
1250 GRAND CONCOURSE APT 3B, BRONX, NY 10456-2700
(256) 694-6587
Mailing address
1250 GRAND CONCOURSE APT 3B, BRONX, NY 10456-2700
(256) 694-6587
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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