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NPI Code Detail

MEDICARE: KIND LOYAL SERVICE RN HEALTHCARE SERVICES PLLC

MEDICARE: KIND LOYAL SERVICE RN HEALTHCARE SERVICES PLLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1477119188
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIND LOYAL SERVICE RN HEALTHCARE SERVICES PLLC
Provider Business Mailing Address
First Line : 173 HUGUENOT ST STE 200
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-7710
Country : US
Telephone Number : 914-661-3797
Fax Number : 914-732-9885
Provider Business Practice Location Address
First Line : 173 HUGUENOT ST STE 200
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-7710
Country : US
Telephone Number : 914-661-3797
Fax Number : 914-661-3797
Authorized Official
Title or Position : DIRECTOR/ADMINISTRATOR
Name : PATRICE NATTALIE JOHNSON
Credential : REGISTERED NURSE
Telephone Number : 914-316-1598
Provider Enumeration Date : 05/17/2019
Last Update Date : 08/04/2023

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Directions to “KIND LOYAL SERVICE RN HEALTHCARE SERVICES PLLC ” Practice Location

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