Organization
PROVIDENCE HOME HEALTH CARE AGENCY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE ANGE AUPONT RN (DIRECTOR OF NURSING,CEO)
(516) 797-5227
Entity
Organization
Contact information
Practice address
24 DENISE ST, MASSAPEQUA, NY 11758-4319
(516) 797-5227
(516) 797-5227
Mailing address
24 DENISE ST, MASSAPEQUA, NY 11758-4319
(516) 797-5227
(516) 797-5227
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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