MEDICARE: FLORAL HOME CARE

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
1	251E00000X	Home Health Agency	1581L001	NY

General Provider Information

NPI Number	:	1548543523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORAL HOME CARE

Provider Business Mailing Address
First Line	:	6677A BROADWAY
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1139
Country	:	US
Telephone Number	:	718-473-1200
Fax Number	:	718-473-1200

Provider Business Practice Location Address
First Line	:	6677A BROADWAY
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1139
Country	:	US
Telephone Number	:	718-473-1200
Fax Number	:	718-473-1200

Authorized Official
Title or Position	:	OPERATOR
Name	:	MR. SOLOMON ABRAMCZYK
Credential	:
Telephone Number	:	718-549-2200

Provider Enumeration Date	:	09/26/2011
Last Update Date	:	09/26/2011

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