| NPI | 1699824847 |
|---|---|
| Doing Business As | EDNA TINA WILSON LIVING CENTER (ADHC) |
| Doing Business As | NORTH PARK NH ADHC |
| Entity Type | Organization |
| Authorized Contact | AMANDA TEUGEMAN Administrator, Nha 585-368-6105 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-04-20 |