| NPI | 1811044522 |
|---|---|
| Doing Business As | EDNA TINA WILSON LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | AMANDA TEUGEMAN Administrator , Nha 585-368-6105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2017-04-10 |