Organization
NEW HAVEN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLLY CHAVOUS (ADMINISTRATOR)
(646) 730-4342
Entity
Organization
Contact information
Practice address
1526 NEW HAVEN AVE, FAR ROCKAWAY, NY 11691-5148
(646) 730-4342
(718) 471-7650
Mailing address
1526 NEW HAVEN AVE, FAR ROCKAWAY, NY 11691-5148
(646) 730-4342
(718) 471-7650
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0557L001
NY
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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