Organization
LJNY HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BING JIANG RN (PRESIDENT)
(917) 607-6170
Entity
Organization
Contact information
Practice address
8407 BROADWAY STE 2, ELMHURST, NY 11373-5727
(718) 304-7873
Mailing address
8407 BROADWAY STE 2, ELMHURST, NY 11373-5727
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2510L001
—
NY
Enumeration date
11/18/2017
Last updated
11/18/2017
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