Organization
LIVING WATERS HOME CARE
Active
Other names
Blueline Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD WEINSTEIN (PRESIDENT)
(718) 584-6900
Entity
Organization
Contact information
Practice address
504 CONEY ISLAND AVE, BROOKLYN, NY 11218-3409
(718) 584-6900
(718) 584-6901
Mailing address
504 CONEY ISLAND AVE, BROOKLYN, NY 11218-3409
(718) 584-6900
(718) 584-6901
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1285L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04263961
—
NY
Enumeration date
06/28/2016
Last updated
06/28/2016
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