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Organization

ELDER HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEW RUSSO (PRESIDENT)
(917) 699-7442
Entity
Organization

Contact information

Practice address
51A CRESCENT RD, PORT WASHINGTON, NY 11050-3328
19176997442
Mailing address
51A CRESCENT RD, PORT WASHINGTON, NY 11050-3328
19176997442

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
07/26/2017
Last updated
02/12/2020
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