Organization
IDONIA LUXE LLC
Active
Other names
indigo luxe
Organization subpart
No
Provider details
NPI number
Authorized official
RAINA VANDYKE RN, DNP (FOUNDER/CEO)
(917) 662-1176
Entity
Organization
Contact information
Practice address
27 PELTON AVE, STATEN ISLAND, NY 10310-1519
(917) 662-1176
Mailing address
27 PELTON AVE, STATEN ISLAND, NY 10310-1519
(917) 662-1176
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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