Organization
BOULEVARD ALP LHSCA OPERATIONS
Active
Other names
Boulevard Homecare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MARX (ADMIN)
(516) 319-5260
Entity
Organization
Contact information
Practice address
7161 159TH ST, FRESH MEADOWS, NY 11365-4123
(718) 269-5165
(718) 269-5166
Mailing address
7161 159TH ST, FRESH MEADOWS, NY 11365-4123
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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