Organization
WINDS OF AGAPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAVERNE TORRENCE RN, MSN (ADMINISTRATOR)
(315) 425-0547
Entity
Organization
Contact information
Practice address
1414 GRANT BLVD, SYRACUSE, NY 13208-3012
(315) 425-0547
(315) 295-0264
Mailing address
1414 GRANT BLVD, SYRACUSE, NY 13208-3012
(315) 425-0547
(315) 295-0264
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1090L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02374601
—
NY
05
—
02408060
—
NY
Enumeration date
06/01/2007
Last updated
08/22/2020
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