Organization
EVERHEALTH HOME CARE SERVICES LLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGILIO A MANGONON MD (PRESIDENT/CFO)
(718) 420-6416
Entity
Organization
Contact information
Practice address
1588 CASTLETON AVE, STATEN ISLAND, NY 10302-1313
(718) 420-6416
(718) 420-6417
Mailing address
1588 CASTLETON AVE, STATEN ISLAND, NY 10302-1313
(718) 420-6416
(718) 420-6417
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1468L001
NY
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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