Organization
HOME ATTENDANT VENDOR AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH RANKIN (ECECUTIVE DIRECTOR)
(718) 253-3888
Entity
Organization
Contact information
Practice address
3036B NOSTRAND AVE., BROOKLYN, NY 11229-1821
(718) 253-3888
Mailing address
3036B NOSTRAND AVE., BROOKLYN, NY 11229
(718) 253-3888
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9574L001
NY
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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