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Organization

SOUTH BEACH PSYCH CENTER(OMH)

Active
Parent organization
HOME HEALTH CARE
Other names
South Beach Psychiatric Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOME HEALTH CARE
Authorized official
MR. LANCE L GOLDSON SOCIAL WORKER ASST 3 (ICM)
(718) 668-8082
Entity
Organization

Contact information

Practice address
777 SEAVIEW AVENUE, HEALTH HOME CARE DEPT, STATEN ISLAND, NY 10305
(718) 668-8082
(718) 668-8070
Mailing address
777 SEAVIEW AVENUE, HEALTH HOME CARE DEPT., STATEN ISLAND, NY 10305
(718) 668-8082
(718) 668-8070

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00769306
NY
Enumeration date
03/30/2016
Last updated
07/21/2022
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