Organization
ALIVE HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN KOMOLAFE (PRESIDENT/ADMINISTRATOR)
(917) 546-5440
Entity
Organization
Contact information
Practice address
1412 ANNA PL, NORTH BALDWIN, NY 11510-1407
(917) 546-5440
Mailing address
1412 ANNA PL, NORTH BALDWIN, NY 11510-1407
(917) 546-5440
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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