Organization
CHRISTIAN COMMUNITY INACTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO M. DAVID (ASST. DIRECTOR ADMINISTRATIVE)
(718) 542-5900
Entity
Organization
Contact information
Practice address
910 E 172ND ST, 4TH FLOOR, BRONX, NY 10460-5802
(718) 542-5900
(718) 378-6886
Mailing address
910 E 172ND ST, 4TH FLOOR, BRONX, NY 10460-5802
(718) 542-5900
(718) 378-6886
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0876L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00921288
—
NY
Enumeration date
11/13/2006
Last updated
08/22/2020
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