Organization
HEATHS HOME CARE SERVICE
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIGORA FULLER DO (OWNER)
(914) 665-0428
Entity
Organization
Contact information
Practice address
300 E PROSPECT AVE, 3J, MOUNT VERNON, NY 10553-1044
(914) 803-9000
Mailing address
300 E PROSPECT AVE, 3J, MOUNT VERNON, NY 10553-1044
(914) 665-0428
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
260385
NY
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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