Organization
COMPLETE HOME CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRIS HARRIS-JACKSON (LPN)
(718) 337-3746
Entity
Organization
Contact information
Practice address
2916 FALCON AVE, FAR ROCKAWAY, NY 11691-1845
(718) 337-3746
Mailing address
2916 FALCON AVE, FAR ROCKAWAY, NY 11691-1845
(718) 337-3746
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
304366
NY
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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