Organization
DETTY HOME CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE L JEAN-LOUIS RN (DIRECTOR OF PATIENT SERVICES)
(646) 474-6238
Entity
Organization
Contact information
Practice address
13935 228TH ST, LAURELTON, NY 11413-2946
(646) 474-6238
(718) 514-6712
Mailing address
13935 228TH ST, LAURELTON, NY 11413-2946
(646) 474-6238
(718) 514-6712
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1828L001
NY
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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