Organization
SWEET HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE C ETIENNE (LPN)
(718) 949-5994
Entity
Organization
Contact information
Practice address
255-43 147RH RD, ROSEDALE, NY 11422
(718) 949-5894
Mailing address
25543 147TH RD, ROSEDALE, NY 11422-2827
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
266637-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266637-1
—
NY
Enumeration date
03/11/2010
Last updated
03/11/2010
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