Organization
MAGIC HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENNADY SHAFIR (EXECUTIVE DIRECTOR)
(718) 484-4900
Entity
Organization
Contact information
Practice address
250 AVENUE X, BROOKLYN, NY 11223-5940
(718) 484-4900
(718) 484-4899
Mailing address
250 AVENUE X, BROOKLYN, NY 11223-5940
(718) 484-4900
(718) 484-4899
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2007L001
NY
Other
Enumeration date
03/17/2015
Last updated
06/25/2015
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