Organization
SR HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KOO (PRESIDENT)
(718) 321-2113
Entity
Organization
Contact information
Practice address
3710 149TH PL, 1B, FLUSHING, NY 11354-4916
(718) 321-2113
(718) 925-4105
Mailing address
3710 149TH PL, 1B, FLUSHING, NY 11354-4916
(718) 321-2113
(718) 925-4105
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1907-L001
NY
251E00000X
Home Health Agency
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Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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