Organization
SOCIAL CONCERN VENDOR AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAIRY RODGERS (PROGRAM DIRECTOR)
(718) 978-3700
Entity
Organization
Contact information
Practice address
18445 147TH AVE, SUITE 100B, SPRINGFIELD GARDENS, NY 11413-3746
(718) 978-3700
(718) 978-2759
Mailing address
18445 147TH AVE, SUITE 100B, SPRINGFIELD GARDENS, NY 11413-3746
(718) 978-3700
(718) 978-2759
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00925195-03
—
NY
Enumeration date
03/28/2007
Last updated
08/22/2020
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