Organization
KDL HOME HEALTH CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A. LICHT (OWNER/ADMINISTRATOR)
(845) 754-8756
Entity
Organization
Contact information
Practice address
30 GALLEY HILL RD, CUDDEBACKVILLE, NY 12729-5204
(845) 754-8756
(845) 754-7141
Mailing address
30 GALLEY HILL RD, CUDDEBACKVILLE, NY 12729-5204
(845) 754-8756
(845) 754-7141
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9806L001
NY
251J00000X
Nursing Care Agency
9806L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02757431
—
NY
Enumeration date
08/16/2007
Last updated
08/16/2007
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