Organization
X-TREME HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HAM (DIRECTOR)
(347) 368-4341
Entity
Organization
Contact information
Practice address
212-12 NORTHERN BLVD., #2A, BAYSIDE, NY 11361
(347) 368-4341
(347) 368-4399
Mailing address
212-12 NORTHERN BLVD., #2A, BAYSIDE, NY 11361
(347) 368-4341
(347) 368-4399
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04200033
—
NY
Enumeration date
04/17/2014
Last updated
07/19/2021
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