Organization
GRADE A HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM MILES (MANAGER)
(347) 986-8169
Entity
Organization
Contact information
Practice address
6143 186TH ST, FRESH MEADOWS, NY 11365-2710
(718) 640-2837
Mailing address
8954 FRANCIS LEWIS BLVD, QUEENS VILLAGE, NY 11427-2246
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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