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NPI Code Detail

MEDICARE: BED BUG 911

MEDICARE: BED BUG 911
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1912259979
Entity Type Code : Organization
Provider Name (Legal Business Name) : BED BUG 911
Provider Business Mailing Address
First Line : 1323 E 15TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-6050
Country : US
Telephone Number : 718-627-5781
Fax Number : 718-679-9656
Provider Business Practice Location Address
First Line : 1323 E 15TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-6050
Country : US
Telephone Number : 718-627-5781
Fax Number : 718-679-9656
Authorized Official
Title or Position : OWNER
Name : NICOLE LEVINE
Credential :
Telephone Number : 718-627-5781
Provider Enumeration Date : 10/15/2012
Last Update Date : 10/15/2012

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Directions to “BED BUG 911 ” Practice Location

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