Organization
SANFORD HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLLY CHAVOUS (ADMINISTRATOR)
64673045342
Entity
Organization
Contact information
Practice address
14040 SANFORD AVE, FLUSHING, NY 11355-2556
(646) 730-4342
(718) 353-1495
Mailing address
14040 SANFORD AVE, FLUSHING, NY 11355-2556
(646) 730-4342
(718) 353-1495
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
113477512
NY
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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