Organization
WAYNE COUNTY DEPT OF AGING AND YOUTH
Active
Parent organization
WAYNE COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYNE COUNTY
Authorized official
MS. PENNY W SHOCKLEY (DIRECTOR)
(315) 946-5624
Entity
Organization
Contact information
Practice address
1519 NYE RD STE 300, LYONS, NY 14489-9115
(315) 946-5624
(315) 946-5649
Mailing address
1519 NYE RD STE 300, LYONS, NY 14489-9115
(315) 946-5624
(315) 946-5649
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01295514
—
NY
Enumeration date
04/12/2012
Last updated
04/12/2012
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