Organization
M.C. PROVISIONS FOR HUMAN SERVICES, INC.
Active
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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