Organization
ABC HOME CARE SUPPLIES
Active
Other names
ABC HOME CARE AGENCY INC
Organization subpart
No
Provider details
NPI number
Authorized official
AKEESHA LOCKITT - PENA (PRESIDENT)
(631) 273-0762
Entity
Organization
Contact information
Practice address
12 CLARKE ST, BRENTWOOD, NY 11717-2002
(631) 273-0762
(631) 273-0762
Mailing address
12 CLARKE ST, BRENTWOOD, NY 11717-2002
(631) 273-0762
(631) 273-0762
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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