St. Nicholas Human Support Corporation
Home Health in Brooklyn, NY. Organization (NPI-2).
NPI number1124156740
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124156740
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Nicholas Human Support Corporation
- Organization subpart
- No
- Enumeration date
- Mar 2, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 0899L001 | NY | Yes |
Practice location
11 Catherine St3rd Floor
Brooklyn, NY 11211-2706
Phone 718-388-5522 · Fax 718-388-0476
Mailing address
11 Catherine St3rd Floor
Brooklyn, NY 11211-2706
Phone 718-388-5522 · Fax 718-388-0476
Authorized official
Michael Rochford
Executive Director
7183885522
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