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Organization

DOJ LONG TERM HOME HEALTH CARE PROGRAM, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GILBERT MANUEL PREIRA (EXECUTIVE DIRECTOR)
(718) 293-1500
Entity
Organization

Contact information

Practice address
1160 TELLER AVE, BRONX, NY 10456-4145
(718) 293-1500
(718) 992-7074
Mailing address
1160 TELLER AVE, BRONX, NY 10456-4145
(718) 293-1500
(718) 992-7074

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7000342N
NY

Other

Enumeration date
04/09/2008
Last updated
04/09/2008
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