Organization · NPI-2
Alissa Home Care INC
In Home Supportive Care · Brooklyn, NY
NPI number1659831402
StatusActive
Last updated in NPPESApr 10, 2019
Details
- NPI
- 1659831402
- Entity type
- Organization (NPI-2)
- Legal business name
- Alissa Home Care INC
- Organization subpart
- No
- Enumeration date
- Mar 20, 2019
- Last updated
- Apr 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
1170 Liberty AveBrooklyn, NY 11208
Phone 917-893-8111 · Fax 718-349-7004
Mailing address
1170 Liberty AveBrooklyn, NY 11208
Phone 917-893-8111 · Fax 718-349-7004
Authorized official
Hiemwantie Sparzak
Administrator
9178938111
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