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Organization

HOME CARE AT ITS BEST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KETTLY DERIVAL (CLINICAL DIRECTOR)
(516) 204-5518
Entity
Organization

Contact information

Practice address
22121 JAMAICA AVE, 2ND FL, QUEENS VILLAGE, NY 11428-2015
(718) 468-6923
(718) 468-6925
Mailing address
22121 JAMAICA AVE, 2ND FL, QUEENS VILLAGE, NY 11428-2015
(718) 468-6923
(718) 468-6925

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
C693L001
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02054231
NY
Enumeration date
02/13/2007
Last updated
11/04/2015
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