Organization
SELFHELP ALZHEIMERS RESOURCE PROGRAM
Active
Parent organization
SELFHELP COMMUNITY SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELFHELP COMMUNITY SERVICES, INC
Authorized official
MR. RUSSELL LUSAL (VICE PRESIDENT, ADMINISTRATION)
(212) 971-7707
Entity
Organization
Contact information
Practice address
208-11 26TH AVENUE, BAYSIDE, NY 11360
(212) 971-7726
Mailing address
520 8TH AVE, NEW YORK, NY 10018-6507
(212) 971-7726
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
030L003
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03191848
—
NY
Enumeration date
07/12/2011
Last updated
07/12/2011
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