Organization
SWEET P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARETTE CHARLES PROPHILE LPN (NURSE)
(347) 455-7205
Entity
Organization
Contact information
Practice address
16937 144TH RD, JAMAICA, NY 11434-5929
(171) 897-8722
(718) 978-7003
Mailing address
751 E 83RD ST, 2ND FLOOR, BROOKLYN, NY 11236-3541
(347) 455-7205
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
285101-1
NY
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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