Organization
RESTORATION HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLE HEROD RN (DIRECTOR OF PATIENT SERVICES)
(718) 444-4111
Entity
Organization
Contact information
Practice address
862 E 57TH ST, BROOKLYN, NY 11234-1908
(718) 444-4111
(718) 444-4992
Mailing address
862 E 57TH ST, BROOKLYN, NY 11234-1908
(718) 444-4111
(718) 444-4992
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1778L001
NY
251J00000X
Nursing Care Agency
Primary
1778L001
NY
253Z00000X
In Home Supportive Care Agency
1778L001
NY
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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