Organization
RISEBORO HOMECARE INC
Active
Other names
Ridgewood Bushwick Senior Citizen Homecare Council
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SHORT (CHIEF EXECUTIVE OFFICER)
(718) 416-4501
Entity
Organization
Contact information
Practice address
535 BUSHWICK AVENUE, BROOKLYN, NY 11206
(718) 821-0254
(718) 821-7986
Mailing address
535 BUSHWICK AVENUE, BROOKLYN, NY 11206
(718) 821-0254
(718) 821-7986
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04545117
—
NY
Enumeration date
02/20/2007
Last updated
05/24/2019
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