Organization
RAYS OF LIGHT COMPANION CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVELISE MARCELLUS (OWNER)
(516) 373-5586
Entity
Organization
Contact information
Practice address
70 FOREST AVE # 2G, GLEN COVE, NY 11542
(516) 373-5586
Mailing address
70 FOREST AVE # 2G, GLEN COVE, NY 11542-2117
(516) 373-5586
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
282E00000X
Long Term Care Hospital
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/28/2018
Last updated
05/28/2018
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