Organization
EDIRA FAMILY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA KORNEYEVA (OWNER)
(718) 830-6206
Entity
Organization
Contact information
Practice address
9402 63RD DR, REGO PARK, NY 11374-2028
(718) 830-6206
Mailing address
9402 63RD DR, REGO PARK, NY 11374-2028
(718) 830-6206
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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