Platinum Home Support INC.
Case Management in Bay Shore, NY. Organization (NPI-2).
NPI number1275343626
StatusActive
Last updated in NPPESJan 8, 2025
Details
- NPI
- 1275343626
- Entity type
- Organization (NPI-2)
- Legal business name
- Platinum Home Support INC.
- Organization subpart
- No
- Enumeration date
- Jan 8, 2025
- Certification date
- Jan 8, 2025
- Last updated
- Jan 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
34 Smith AveBay Shore, NY 11706-7345
Phone 631-603-1350
Mailing address
526 W 14th St # 220Traverse City, MI 49684-4051
Authorized official
Edwin Dean
Owner
6316031350
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