Organization
WILLCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYLOU PERRY BRANCH ADMINISTRATOR (BRANCH ADMINISTRATOR)
(716) 856-7500
Entity
Organization
Contact information
Practice address
150 DEBRA LN, BUFFALO, NY 14207-2339
(716) 601-8821
Mailing address
150 DEBRA LN, BUFFALO, NY 14207-2339
(716) 601-8821
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
204747
NY
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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