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Organization

AT HOME COMMUNITY CARE MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OSCAR REAL MSW (VICE PRESIDENT)
(347) 755-4431
Entity
Organization

Contact information

Practice address
264 LOGAN AVE # 1, BRONX, NY 10465-3334
(347) 755-4431
Mailing address
264 LOGAN AVE # 1, BRONX, NY 10465-3334

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
02/12/2019
Last updated
02/12/2019
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