Organization
ISRAELSHINING STAR INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAOMI PLEASANT ISRAEL LPN (CEO)
(718) 759-8495
Entity
Organization
Contact information
Practice address
106-35 154TH STREET, 2ND FLOOR, JAMAICA, NY 11433-1917
(718) 759-8594
(718) 960-7437
Mailing address
PO BOX 900093, FAR ROCKAWAY, NY 11690-0093
(718) 759-8594
(718) 960-7437
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2205381
NY
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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