Organization
SALEM HOME CARE AGENCY, LLC
Active
Parent organization
SALEM HOME CARE AGENCY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SALEM HOME CARE AGENCY, LLC
Authorized official
MRS. MARIE GUSTAVE RN (CEO)
(347) 471-4707
Entity
Organization
Contact information
Practice address
220 HILLSIDE AVE, VALLEY STREAM, NY 11580-2517
(516) 476-1475
Mailing address
220 HILLSIDE AVE, VALLEY STREAM, NY 11580-2517
(516) 451-9426
(516) 887-1991
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
120124000198
NY
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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