Organization
CARELINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARISE DEAUSSOU (OWNER)
(917) 864-6753
Entity
Organization
Contact information
Practice address
653 ROCKAWAY PKWY, BROOKLYN, NY 11236-1317
(917) 864-6753
Mailing address
653 ROCKAWAY PKWY, BROOKLYN, NY 11236-1317
(917) 864-6753
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
575599
NY
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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