Organization
AVEENA'S LOVING COMPANION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDIA BALKARAN (OWNER)
(718) 775-1677
Entity
Organization
Contact information
Practice address
9115 181ST ST, JAMAICA, NY 11423-2311
(718) 775-1677
Mailing address
9115 181ST ST, JAMAICA, NY 11423-2311
(718) 775-1677
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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