Organization
VIP HOMECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAAKOV M JACOBOVITCH (PRESIDENT)
(845) 570-3821
Entity
Organization
Contact information
Practice address
1858 CORNAGA AVE FL 2, FAR ROCKAWAY, NY 11691
(845) 570-3821
Mailing address
634 VAN DAM ST, VALLEY STREAM, NY 11581-3537
(845) 570-3821
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04719797
—
NY
Enumeration date
09/07/2017
Last updated
08/02/2018
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