Organization
G.E.M. HEALTH CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS A. WELLINGTON RN,BSN,MSA (PRESIDENT)
(516) 255-5400
Entity
Organization
Contact information
Practice address
147 W MERRICK RD, SUITE 201, FREEPORT, NY 11520-3784
(516) 255-5400
(516) 536-2354
Mailing address
147 W MERRICK RD, SUITE 201, FREEPORT, NY 11520-3784
(516) 255-5400
(516) 536-2354
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
99169L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01487778
—
NY
Enumeration date
12/11/2006
Last updated
07/28/2016
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