Organization
CLASSIC HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANA QUANSAH (PRESIDENT)
(718) 881-2200
Entity
Organization
Contact information
Practice address
2655A WEBSTER AVENUE, 2ND FLOOR, BRONX, NY 10458
(718) 881-2200
Mailing address
2655A WEBSTER AVENUE, 2ND FLOOR, BRONX, NY 10458
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1390L001
NY
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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