Organization
MYHEALTHHATCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON AYLESWORTH (CEO)
(703) 408-5028
Entity
Organization
Contact information
Practice address
499 S WARREN ST, SYRACUSE, NY 13202-2609
(703) 408-5028
Mailing address
7208 WOODCHUCK HILL RD, FAYETTEVILLE, NY 13066-9715
(703) 408-5028
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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