Organization
MILLENNIUM CHILDREN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEDA AZADIVATAN-LE DDS (OWNER)
(518) 322-7767
Entity
Organization
Contact information
Practice address
55 MARKET ST STE 4B, POUGHKEEPSIE, NY 12601-3210
(518) 322-7767
Mailing address
55 MARKET ST STE 4B, POUGHKEEPSIE, NY 12601-3210
(518) 322-7767
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
03/26/2024
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