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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROL CASSANDRA MCINTYRE MSED (CEO)
(347) 495-6929
Entity
Organization

Contact information

Practice address
4806 AVENUE K, BROOKLYN, NY 11234-2114
(347) 495-6929
Mailing address
PO BOX 1326, VALLEY STREAM, NY 11582-1326
(347) 495-6929
(800) 660-2948

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
346641
NY

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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