Organization
PRIDECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND MIRRA (PRESIDENT)
(484) 494-3121
Entity
Organization
Contact information
Practice address
7 SKYLINE DR STE 225, HAWTHORNE, NY 10532-2164
(914) 579-2250
(914) 579-2255
Mailing address
7 SKYLINE DR STE 225, HAWTHORNE, NY 10532-2164
(914) 579-2250
(914) 579-2255
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0634L002
NY
251F00000X
Home Infusion Agency
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Other
Enumeration date
05/03/2007
Last updated
01/07/2020
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