Organization
THERACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER JOY SLATER (REMOTE SERVICE COORDINATOR)
(646) 305-3965
Entity
Organization
Contact information
Practice address
3340 BAILEY AVE APT 20J, BRONX, NY 10463-5774
(646) 305-3965
Mailing address
3340 BAILEY AVE APT 20J, BRONX, NY 10463-5774
(646) 305-3965
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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