Organization
SARA HOM ECI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA HOM (MEMBER)
(347) 933-8434
Entity
Organization
Contact information
Practice address
408 77TH ST, B1, BROOKLYN, NY 11209-3243
(347) 933-8434
Mailing address
408 77TH ST, B1, BROOKLYN, NY 11209-3243
(347) 933-8434
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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