Organization
MODERN LIFE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEY DELMAR HENNIX CHARLES RN (OWNER)
(212) 328-2078
Entity
Organization
Contact information
Practice address
17 STATE ST, SUITE 4000, NEW YORK, NY 10004-1501
(212) 328-2078
Mailing address
17 STATE ST, SUITE 4000, NEW YORK, NY 10004-1501
(212) 328-2078
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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