Organization
OMEGA CARE SERVICES, INC
Active
Other names
Living Waters Home Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP KWAKU DUAH (ADMINISTRATOR)
(718) 584-6900
Entity
Organization
Contact information
Practice address
32 E KINGSBRIDGE RD, SUITE 2E, BRONX, NY 10468-7513
(718) 584-6900
(718) 584-6901
Mailing address
32 E KINGSBRIDGE RD, SUITE 2E, BRONX, NY 10468-7513
(718) 584-6900
(718) 584-6901
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1285L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02820482
—
NY
Enumeration date
01/12/2007
Last updated
08/22/2020
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