34home Nursing
Licensed Practical Nurse in Canandaigua, NY. Organization (NPI-2).
NPI number1982775441
StatusActive
Last updated in NPPESJun 13, 2008
Details
- NPI
- 1982775441
- Entity type
- Organization (NPI-2)
- Legal business name
- 34home Nursing
- Organization subpart
- No
- Enumeration date
- Nov 13, 2006
- Last updated
- Jun 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 124749-1 | NY | Yes |
Practice location
5121 West Lake RoadCanandaigua, NY 14424
Phone 585-396-2001
Mailing address
638 Yale Farm RdRomulus, NY 14541-9718
Phone 315-585-4445
Authorized official
Carolyn A Berry
Lpn
3155854445
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