Organization
JOS-EL CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHIRLEEN D POLYNICE (LPN)
(631) 357-6527
Entity
Organization
Contact information
Practice address
13 CLEVELAND ST, VALLEY STREAM, NY 11580-6003
(516) 823-0739
Mailing address
13 CLEVELAND ST, VALLEY STREAM, NY 11580-6003
(516) 823-0739
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
317824
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
317824
LPN LISENCE
NY
Enumeration date
03/11/2014
Last updated
03/11/2014
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