Organization
LONG ISLAND CARE AT HOME LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN C OSBORNE (V PRES)
(516) 794-0700
Entity
Organization
Contact information
Practice address
1400 OLD COUNTRY ROAD, SUITE 108, WESTBURY, NY 11590-5119
(516) 794-0700
(516) 794-0787
Mailing address
1400 OLD COUNTRY ROAD, SUITE 108, WESTBURY, NY 11590-5119
(516) 794-0700
(516) 794-0787
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
9376L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01422393
—
NY
Enumeration date
03/07/2007
Last updated
08/22/2020
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