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
- City
- Centereach
- State
- New York
- 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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