Organization
PRIDECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND A MIRRA JR. (PRESIDENT)
(484) 494-3121
Entity
Organization
Contact information
Practice address
420 LEXINGTON AVE RM 910, NEW YORK, NY 10170-0047
(646) 882-0103
Mailing address
420 LEXINGTON AVE RM 910, NEW YORK, NY 10170-0047
(646) 882-0103
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0634L001
NY
Other
Enumeration date
08/09/2011
Last updated
10/01/2021
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