Healthcare Provider Details

I. General information

NPI: 1548543523
Provider Name (Legal Business Name): FLORAL HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2011
Last Update Date: 09/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6677A BROADWAY
BRONX NY
10471-1139
US

IV. Provider business mailing address

6677A BROADWAY
BRONX NY
10471-1139
US

V. Phone/Fax

Practice location:
  • Phone: 718-473-1200
  • Fax: 718-473-1200
Mailing address:
  • Phone: 718-473-1200
  • Fax: 718-473-1200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1581L001
License Number StateNY

VIII. Authorized Official

Name: MR. SOLOMON ABRAMCZYK
Title or Position: OPERATOR
Credential:
Phone: 718-549-2200