Organization
ABC HOME CARE AGENCY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKEESHA LOCKITT (PRESIDENT)
(631) 273-0762
Entity
Organization
Contact information
Practice address
12 CLARKE ST, BRENTWOOD, NY 11717-2002
(631) 273-0762
(631) 273-0762
Mailing address
12 CLARKE ST, BRENTWOOD, NY 11717-2002
(631) 273-0762
(631) 273-0762
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04674246
—
NY
Enumeration date
06/29/2018
Last updated
06/29/2018
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