Healthcare Provider Details
I. General information
NPI: 1932440153
Provider Name (Legal Business Name): HAND IN HAND CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2013
Last Update Date: 03/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25 MYRTLE AVE
MIDDLETOWN NY
10940
US
IV. Provider business mailing address
25 MYRTLE AVE.
MIDDLETOWN NY
10940
US
V. Phone/Fax
- Phone: 845-342-4802
- Fax: 845-341-1023
- Phone: 845-342-4787
- Fax: 845-341-1023
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALICE
KRAWCYK
Title or Position: PRESIDENT
Credential:
Phone: 845-342-4787