Organization
NEXT LEVEL PROFESSSIONAL SERVICES
Active
Parent organization
NEXT LEVEL PROFESSIONAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEXT LEVEL PROFESSIONAL SERVICES
Authorized official
MS. LAJUANA PATRICE JAMES-JACKSON LPN (DIRECTOR)
(770) 203-5095
Entity
Organization
Contact information
Practice address
70 E SUNRISE HWY STE 500, VALLEY STREAM, NY 11581-1233
(770) 203-5095
Mailing address
2216 NEW HAVEN AVE APT 7N, FAR ROCKAWAY, NY 11691-2562
(770) 203-5095
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205225612
—
NY
Enumeration date
11/14/2017
Last updated
11/14/2017
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