Organization
COMPLETE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA DIONE POPWELL (LPN)
(347) 267-4424
Entity
Organization
Contact information
Practice address
715 SAINT MARKS AVE, BROOKLYN, NY 11216-3767
(718) 493-4143
Mailing address
715 SAINT MARKS AVE, BROOKLYN, NY 11216-3767
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
304749-1
NY
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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