Organization
LONGEVITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDVARD JOSEPH OWNER (OWNER)
(914) 341-1027
Entity
Organization
Contact information
Practice address
1600 HARRISON AVE STE 307C, MAMARONECK, NY 10543-3152
(914) 341-1027
(914) 560-2285
Mailing address
1600 HARRISON AVE STE 307C, MAMARONECK, NY 10543-3152
(914) 341-1027
(914) 560-2285
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
L1835
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1835
LICENSE HOMECARE AGENCY
NY
Enumeration date
03/26/2014
Last updated
03/26/2014
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