Provider Demographics
NPI:1366747396
Name:EMC CLEANING SERVICES, INC
Entity type:Organization
Organization Name:EMC CLEANING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARC-CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-949-3100
Mailing Address - Street 1:22408 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1725
Mailing Address - Country:US
Mailing Address - Phone:718-949-3100
Mailing Address - Fax:718-949-3101
Practice Address - Street 1:22408 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:CAMBRIA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11411-1725
Practice Address - Country:US
Practice Address - Phone:718-949-3100
Practice Address - Fax:718-949-3101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-23
Last Update Date:2011-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY363277OtherWELLCARE