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Organization
THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC.
Active
Organization
THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC.
Active
Other names
Wartburg Outpatient Rehabilitation Services
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 PL, MOUNT VERNON, NY 10552-3821
(914) 699-0800
(914) 699-2512
Mailing address
1 WARTBURG PL, MOUNT VERNON, NY 10552-3821
(914) 699-0800
(914) 699-2512
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
5903309N
NY
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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