Organization
HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRON GRAHAM (LPN)
(646) 401-6027
Entity
Organization
Contact information
Practice address
750 GRAND CONCOURSE, 5B, BRONX, NY 10451-3106
(646) 401-6027
(646) 401-6027
Mailing address
750 GRAND CONCOURSE, 5B, BRONX, NY 10451-3106
(646) 401-6027
(646) 401-6027
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
297810-1
NY
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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