Organization
VINTAGE POINT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE DRAGON LPN (OWNER)
(914) 523-6670
Entity
Organization
Contact information
Practice address
2105 NEREID AVE APT 2F, BRONX, NY 10466-1133
(914) 523-6670
Mailing address
2105 NEREID AVE APT 2F, BRONX, NY 10466-1133
(914) 523-6670
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
296219
NY
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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