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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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