Provider Demographics
NPI:1518404904
Name:U DESERVE A BREAK RESPITE FOR CAREGIVERS
Entity Type:Organization
Organization Name:U DESERVE A BREAK RESPITE FOR CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:GODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-206-1400
Mailing Address - Street 1:9050 PARSONS BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-6012
Mailing Address - Country:US
Mailing Address - Phone:718-206-1400
Mailing Address - Fax:718-206-1403
Practice Address - Street 1:9050 PARSONS BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-6012
Practice Address - Country:US
Practice Address - Phone:718-206-1400
Practice Address - Fax:718-206-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health