Organization
ANNA M SENIOR CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKISHA THOMAS (CEO/FOUNDER)
(347) 494-9362
Entity
Organization
Contact information
Practice address
15612 107TH AVE, JAMAICA, NY 11433-2068
(347) 494-9362
Mailing address
15612 107TH AVE, JAMAICA, NY 11433-2068
(347) 494-9362
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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