Organization
A&B ENTERPRISE OF LI
Active
Other names
AT HomeSenior of LI
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CAMPBELL (PRESIDENT)
(516) 826-6333
Entity
Organization
Contact information
Practice address
2079 WANTAGH AVE, 2, WANTAGH, NY 11793-3924
(516) 938-5225
(516) 938-3202
Mailing address
2079 WANTAGH AVE., 2, WANTAGH, NY 11793
(516) 938-5225
(516) 938-3202
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0022L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00485896
—
NY
Enumeration date
01/12/2007
Last updated
07/30/2019
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