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Organization
WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH
Active
Organization
WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH
Active
Other names
Wartburg CHHA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GENTNER (CEO/PRESIDENT)
(914) 513-5311
Entity
Organization
Contact information
Practice address
1 WARTBURG PLACE, MOUNT VERNON, NY 10552-3821
(914) 699-0800
(914) 699-2512
Mailing address
1 WARTBURG PLACE, MOUNT VERNON, NY 10552-3821
(914) 699-0800
(914) 699-2512
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5903900L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01177999
—
NY
Enumeration date
01/17/2007
Last updated
01/18/2017
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