Organization
WESTSIDE HOME CARE AGENCY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JOHN WAGENHAUSER (VP)
(585) 637-7215
Entity
Organization
Contact information
Practice address
80 CLINTON ST, BROCKPORT, NY 14420-1841
(585) 637-7215
(585) 637-8913
Mailing address
PO BOX 347, 80 CLINTON ST., BROCKPORT, NY 14420-0347
(585) 637-7215
(585) 637-8913
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9898L001
NY
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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