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Organization

IGBANS HOME CARE SERVICES

Active
Parent organization
IGBANS HOME CRAE SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
IGBANS HOME CRAE SERVICES
Authorized official
NELSON IGBANUGO (ADMINISTRATOR)
(917) 771-5292
Entity
Organization

Contact information

Practice address
21834 139 AVENUE, SPRINGFIELD GARDENS, NY 11413
(718) 238-9300
Mailing address
21834 139TH AVE, SPRINGFIELD GARDENS, NY 11413-2652
(718) 238-9300

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04243147
NY
Enumeration date
08/22/2017
Last updated
07/21/2022
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