# LEILANI RAGUCKAS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740356559
- **Authorized official:** LEILANI RAGUCKAS RN (OWNER)
- **Authorized official phone:** (315) 344-6604

## Contact information

- **Practice address:** 4396 COUNTY ROUTE 10, DE PEYSTER, NY 13633-0023
- **Practice address phone:** (315) 344-6604
- **Mailing address:** PO BOX 23, DE PEYSTER, NY 13633-0023
- **Mailing address phone:** (315) 344-6604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | 557596 | NY | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 08/22/2020