Organization
IMMACULATE HOMECARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRIAM PLONQUE (OWNER)
(315) 723-4157
Entity
Organization
Contact information
Practice address
150 DEAN ST, VALLEY STREAM, NY 11580-4910
(315) 723-4157
Mailing address
150 DEAN ST, VALLEY STREAM, NY 11580-4910
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
01/10/2020
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