Healthcare Provider Details

I. General information

NPI: 1912347352
Provider Name (Legal Business Name): NO ONE LEFT OUT SERVICES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2013
Last Update Date: 06/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 COURT ST
WEST BABYLON NY
11704-2124
US

IV. Provider business mailing address

52 COURT ST
WEST BABYLON NY
11704-2124
US

V. Phone/Fax

Practice location:
  • Phone: 631-388-2302
  • Fax: 631-491-5394
Mailing address:
  • Phone: 631-388-2302
  • Fax: 631-491-5394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON SMITH
Title or Position: PRESIDENT
Credential:
Phone: 631-388-2302