Organization
4 EVER BLESSINGSHOME CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAYE ANNETTE HENDERSON (EMPLOYEE/OWNER)
(631) 833-5577
Entity
Organization
Contact information
Practice address
2306 LOCUST AVE, RONKONKOMA, NY 11779-6522
(631) 833-5577
(631) 615-6160
Mailing address
200 HAWKINS AVE UNIT 1166, RONKONKOMA, NY 11779-8019
(631) 939-1901
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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