Organization
M.C. PROVISIONS FOR HUMAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARESSE WHITE (CHIEF EXECUTIVE OFFICER)
(516) 445-4755
Entity
Organization
Contact information
Practice address
10920 34TH AVE, CORONA, NY 11368-1332
(516) 445-4755
(718) 481-9396
Mailing address
10920 34TH AVE, CORONA, NY 11368-1332
(516) 445-4755
(718) 481-9396
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NY
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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