Organization
KIM ONE FAMILY TYPE HOMES FOR ADULTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMONE ISAACS (PARTNER)
(516) 489-1734
Entity
Organization
Contact information
Practice address
361 CALIFORNIA AVE, UNIONDALE, NY 11553-1857
(516) 489-1734
(631) 260-1850
Mailing address
361 CALIFORNIA AVE, UNIONDALE, NY 11553-1857
(516) 489-1734
(631) 260-1850
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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