Organization
HOMEASSIST DIRECT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINKYUNG AN (PRESIDENT)
(718) 808-9908
Entity
Organization
Contact information
Practice address
108-10 72ND AVE, 3RD FLOOR, FOREST HILLS, NY 11375
(718) 808-9908
Mailing address
108-10 72ND AVE, 3RD FLOOR, FOREST HILLS, NY 11375
(718) 808-9908
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04699258
—
NY
Enumeration date
03/10/2017
Last updated
06/02/2020
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