Organization
SADE S RILEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SADE SOPHIA RILEY (LICENSED PRACTICAL NURSE)
(631) 317-3379
Entity
Organization
Contact information
Practice address
111 VILLAS DR, MEDFORD, NY 11763-2136
(631) 392-0985
Mailing address
111 VILLAS DR, MEDFORD, NY 11763-2136
(631) 392-0985
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3168181
NY
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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