Organization
IGBANS HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON IGBANUGO (ADMINISTRATOR)
(917) 771-5292
Entity
Organization
Contact information
Practice address
21834 139TH AVE, SPRINGFIELD GARDENS, NY 11413-2652
(917) 771-5292
(718) 525-1250
Mailing address
218-34 139TH AVENUE, SPRINGFIELD GARDENS, NY 11413
(917) 771-5292
(718) 412-9330
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2092L001
NY
Other
Enumeration date
02/17/2015
Last updated
10/09/2015
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