Organization
METROCARE GIVERS DIVISION OF TRI-BOROUGH HOME CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENRICK CORT (CEO/PRESIDENT)
(718) 282-7619
Entity
Organization
Contact information
Practice address
160 BROADWAY RM 905, NEW YORK, NY 10038-4214
(212) 689-7000
Mailing address
160 BROADWAY RM 905, NEW YORK, NY 10038-4214
(212) 689-7000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2103L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02151802
—
NY
Enumeration date
11/17/2015
Last updated
11/17/2015
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