Organization
MARKS HOMECARE CDPAP, LLC
Active
Other names
Pella Care CDPAS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MITTELMAN (CEO)
(718) 400-0124
Entity
Organization
Contact information
Practice address
1122 CONEY ISLAND AVE STE 220, BROOKLYN, NY 11230-2365
(718) 400-0124
Mailing address
1122 CONEY ISLAND AVE, STE 220, BROOKLYN, NY 11230-2365
(718) 400-0124
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1393L001
NY
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
10/21/2024
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