Organization
RICHMOND UNI HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JOHN KLINGELE (CHIEF FINANCIAL OFFICER)
(718) 313-1405
Entity
Organization
Contact information
Practice address
3155 AMBOY RD, STATEN ISLAND, NY 10306-2799
(718) 313-1405
(718) 987-7449
Mailing address
3155 AMBOY RD, STATEN ISLAND, NY 10306-2799
(718) 313-1405
(718) 987-7449
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
9570L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01633994
—
NY
Enumeration date
01/25/2007
Last updated
08/22/2020
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