Organization
BAYSHORE HOME HEALTHCARE, INC .
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA HARLEY (PRESIDENT)
(631) 647-9020
Entity
Organization
Contact information
Practice address
55 E MAIN ST, BAY SHORE, NY 11706-8366
(631) 647-9020
Mailing address
55 E MAIN ST, BAY SHORE, NY 11706-8366
(631) 647-9020
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04887207
—
NY
Enumeration date
05/29/2018
Last updated
05/29/2018
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