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Organization

WHITE GLOVE HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHANNIE CHANCY MONDESIR (REGISTERED NURSE)
(561) 634-6519
Entity
Organization

Contact information

Practice address
630 FLUSHING AVE, BROOKLYN, NY 11206-5026
(718) 828-2666
Mailing address
14995 254TH ST, ROSEDALE, NY 11422-2724

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7141621
NY
282N00000X
General Acute Care Hospital
7141621
NY

Other

Enumeration date
04/20/2016
Last updated
04/20/2016
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