| NPI | 1922831197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE W FENNELL Owner 585-284-5128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 261QM1103X Clinic/Center, Military Ambulatory Procedure Visits Operational (Transportable) |
| 261QU0200X Clinic/Center, Urgent Care | |
| 292200000X Dental Laboratory | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |