Organization
PUERTO RICAN HOME ATTENDANTS SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN HERNANDEZ (EXECUTIVE DIRECTOR)
(718) 292-8770
Entity
Organization
Contact information
Practice address
564 SOUTHERN BLVD FL 2, BRONX, NY 10455-3715
(718) 292-8770
(718) 585-2114
Mailing address
564 SOUTHERN BLVD FL 2, BRONX, NY 10455-3715
(718) 292-8770
(718) 585-2114
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9911L001
NY
Other
Enumeration date
11/24/2006
Last updated
08/22/2020
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