Nursing Service Provider
Nursing Service Provider is an Adult Care Home Facility in Bay Shore, New York. Licensed in New York. Registered with an NPI since 2014.
- Licensed in
- NY
- In the registry since
- 2014
Practice location Address checks out
916 Spur Dr SBay Shore, NY 11706-4709
Phone: (631) 647-3048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 312239-1 (NY) |
|---|
Record details
| NPI number | 1215335823 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Emmanuel Philogene — Lpn · (631) 647-3048 |
| Other names | Nursing Service Provider |
| NPI enumerated | December 12, 2014 |
| Last updated in NPPES | December 12, 2014 |
| Mailing address | 916 Spur Dr S, Bay Shore, NY 11706-4709 |