Organization
COMMUNITY CARE ORGANIZATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ROSE (EXECUTIVE DIRECTOR)
(718) 630-6125
Entity
Organization
Contact information
Practice address
246 55 STREET, AA4, BROOKLYN, NY 11220
(718) 630-7274
(718) 630-7261
Mailing address
246 55 STREET, AA4, BROOKLYN, NY 11220
(718) 630-7274
(718) 630-7261
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0496L001
NY
374U00000X
Home Health Aide
0496L001
NY
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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