Individual Home Care Provider, INC

NPI #1336345610 in Centereach, New York

Provider Information

NPI Number
1336345610
Entity Type
Organization
Organization Name
Individual Home Care Provider, INC
Primary Specialty
Home Health
Enumeration Date
Jun 25, 2007
Last Updated
Aug 12, 2014

Practice Location

Address
2364 MIDDLE COUNTRY RD
ZIP Code
11720-3502
Phone
(631) 467-4435

Authorized Official

Name
MRS. ROSEMARIE CARHART, CEO
Title
PRESIDENT
Phone
(631) 467-4435

Specialties & Taxonomy Codes

Specialty
Home Health

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