Organization
JSP LIFE AGENCY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVELISSE MARIA CRUZ RN (DIRECTOR OF PATIENTS SERVICE)
(718) 944-4705
Entity
Organization
Contact information
Practice address
279 E. 204TH ST., 2ND FLOOR, BRONX, NY 10467-3225
(718) 944-4705
(718) 944-5257
Mailing address
279-281 E. 204TH STREET, 2ND FLOOR, BRONX, NY 10467
(718) 944-4705
(718) 944-5257
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1169L001
NY
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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