Organization
PLATINUM HOME MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN DEAN (CEO)
(631) 603-1350
Entity
Organization
Contact information
Practice address
416 LAKE DR, MEDFORD, NY 11763-4607
(631) 603-1350
Mailing address
416 LAKE DR, MEDFORD, NY 11763-4607
(631) 603-1350
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/05/2022
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