Organization
ANNI B'S IN-HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNWANA JOHNSON (OWNER)
(516) 456-5445
Entity
Organization
Contact information
Practice address
440 DAVENPORT RD, MULLINS, SC 29574-7368
(516) 456-5445
Mailing address
727 DEAN DR, NORTH BALDWIN, NY 11510-1107
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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