Organization
ASA HOME SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILDOR MERIVIL (VICE-PRESIDENT)
(347) 766-0595
Entity
Organization
Contact information
Practice address
2006 RALPH AVE, SUITE B, BROOKLYN, NY 11234-5309
(347) 766-0595
Mailing address
2006 RALPH AVE, SUITE B, BROOKLYN, NY 11234-5309
(347) 766-0595
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/11/2013
Last updated
01/08/2016
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