| NPI | 1477921807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD WHITHAM PENOYER Director Of Operations 315-668-9381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NY 9269L001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 9269L001) |
| 163WH1000X Registered Nurse Hospice (Licence: NY 9269L001) | |
| 164W00000X Licensed Practical Nurse (Licence: NY 9269L001) | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 251X00000X Supports Brokerage | |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2022-10-28 |