Organization
SELFHELP SPECIAL FAMILY HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS WAHRMANN RN, MA (DIRECTOR OF PATIENT SERVICES)
(212) 971-7607
Entity
Organization
Contact information
Practice address
520 8TH AVE, 5TH FLR, NEW YORK, NY 10018-6553
(212) 971-5471
(212) 290-8039
Mailing address
520 8TH AVE, 5TH FLR, NEW YORK, NY 10018-6553
(212) 971-5471
(212) 290-8039
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7002651
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01559026
—
NY
01
—
7002651
CERTIFICATE OF AUTHORIZATION NY DEPT OF HEALTH
—
Enumeration date
05/27/2005
Last updated
06/29/2010
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