NPI | 1740349026 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISE ANNE VAUGHT Owner 845-336-7337 |
Organization Subpart ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 1530231) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2008-07-18 |