Organization
J&D ULTRACARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RAE (VICE PRESIDENT)
(845) 357-4500
Entity
Organization
Contact information
Practice address
15 SUFFERN PL STE A, SUFFERN, NY 10901-5566
(845) 357-4500
(845) 357-5039
Mailing address
15 SUFFERN PL STE A, SUFFERN, NY 10901-5566
(845) 357-4500
(845) 357-5039
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
D732L001
NY
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00887527
—
NY
01
—
0732L001
NY STATE DOH LICENSE
NY
Enumeration date
11/10/2006
Last updated
12/08/2020
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