Organization
LETITIA AGADA SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE GALLOWAY (EXECUTIVE DIRECTOR)
(631) 698-0148
Entity
Organization
Contact information
Practice address
479 MIDDLE COUNTRY RD, CORAM, NY 11727-3729
(631) 698-0148
Mailing address
479 MIDDLE COUNTRY RD, CORAM, NY 11727-3729
(631) 698-0148
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
TBI00320
NY
Other
Enumeration date
05/20/2007
Last updated
09/03/2008
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