| NPI | 1679962518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY GREENLEAF Cna/Owner 315-427-3753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NY 341974760503) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |