GLENMORE WIGGAN

BRONX, NY
NPI1619371341
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: NY  015911-1)
Enumeration Date2014-10-09
Last Update Date2014-10-09
Business Address
GLENMORE WIGGAN OTR/L
3322 LURTING AVE
BRONX, NY 10469-3712
Phone number: 347-231-9516
Mailing Address
GLENMORE WIGGAN OTR/L
3322 LURTING AVE
BRONX, NY 10469-3712
Phone number: 347-231-9516