Organization
LIVE HOME LIVE LONGER AFRICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA HAZEL CNA (PRESIDENT)
(929) 421-0251
Entity
Organization
Contact information
Practice address
136-11 FARMERS BOULEVARD, JAMAICA, NY 11434
(929) 421-0251
Mailing address
107-21 171ST STREET, JAMAICA, NY 11433
(929) 421-0251
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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