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 |