Nursing Service Provider
NPI #1215335823 in Bay Shore, New York
Provider Information
- NPI Number
- 1215335823
- Entity Type
- Organization
- Organization Name
- Nursing Service Provider
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Dec 12, 2014
- Last Updated
- Dec 12, 2014
Practice Location
Authorized Official
- Name
- MR. EMMANUEL PHILOGENE
- Title
- LPN
- Phone
- (631) 647-3048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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