Organization
PLATINUM HOME HEATLH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM ANN BREIHOF R.N. (REGISTERED NURSE)
(845) 482-2238
Entity
Organization
Contact information
Practice address
63 JEFFERSON AVE., JEFFERSONVILLE, NY 12748
(845) 482-2238
Mailing address
PO BOX 136, JEFFERSONVILLE, NY 12748-0136
(845) 482-2238
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
416454
NY
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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