Anna M Senior Care Center INC
Exclusive Provider Organization in Jamaica, NY. Organization (NPI-2).
NPI number1710698311
StatusActive
Last updated in NPPESDec 6, 2022
Details
- NPI
- 1710698311
- Entity type
- Organization (NPI-2)
- Legal business name
- Anna M Senior Care Center INC
- Organization subpart
- No
- Enumeration date
- Dec 6, 2022
- Certification date
- Dec 6, 2022
- Last updated
- Dec 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | – | – | Yes |
Practice location
15612 107th AveJamaica, NY 11433-2068
Phone 347-494-9362
Mailing address
15612 107th AveJamaica, NY 11433-2068
Phone 347-494-9362
Authorized official
Takisha Thomas
Ceo/Founder
3474949362
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