Activities of Daily Living Home Care

NPI #1376893941 in Mastic Beach, New York

Provider Information

NPI Number
1376893941
Entity Type
Organization
Organization Name
Activities of Daily Living Home Care
Primary Specialty
Home Health
Enumeration Date
Sep 11, 2012
Last Updated
Jul 21, 2022

Practice Location

Address
67 DIANA DR
ZIP Code
11951-6308
Phone
(631) 394-6639

Authorized Official

Name
KENDRA DENISE LEWIS
Title
CNA
Phone
(631) 394-6639

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Physical Disabilities
Community Based Residential Treatment Facility, Mental Illness
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Psychiatric Residential Treatment Facility
Private Vehicle
Home Health

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