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NPI Code Detail

MEDICARE: JOS-EL CARE INC.

MEDICARE: JOS-EL CARE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency184014NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013190305
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOS-EL CARE INC.
Provider Business Mailing Address
First Line : 251 E 29TH ST
Second Line : APT 6G
City : BROOKLYN
State : NY
Zip : 11226-6372
Country : US
Telephone Number : 518-488-0406
Fax Number : 347-529-7339
Provider Business Practice Location Address
First Line : 13 CLEVELAND ST
Second Line :
City : VALLEY STREAM
State : NY
Zip : 11580-6003
Country : US
Telephone Number : 516-823-0739
Fax Number :
Authorized Official
Title or Position : LPN
Name : MS. MARIE LUCIENNE CASSEUS
Credential :
Telephone Number : 518-488-0406
Provider Enumeration Date : 12/10/2007
Last Update Date : 12/10/2007

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