Organization
PROFESSIONAL CARING HANDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BROWN MADUBUKO OGWUMA MSW, LCSW (CHIEF EXECUTIVE OFFICER)
(914) 831-9694
Entity
Organization
Contact information
Practice address
129 VERNON AVE, MOUNT VERNON, NY 10553-1811
(914) 699-5407
Mailing address
107 GRANT AVENUE, PEEKSKILL, NY 10566
(914) 699-5407
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLYING FOR ONE NOW
—
NY
Enumeration date
01/20/2015
Last updated
01/20/2015
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