Organization
DAVID J WEGMAN
Active
Other names
Hilton East Assisted Living, Angels in Your Home
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR S MOHAMED (OUTSOURCED CONTROLLER)
(585) 392-7171
Entity
Organization
Contact information
Practice address
231 EAST AVE, HILTON, NY 14468-1333
(585) 392-7171
(585) 392-3631
Mailing address
231 EAST AVE, HILTON, NY 14468-1333
(585) 392-7171
(585) 392-3631
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
Primary
370F208
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01614539
—
NY
Enumeration date
03/28/2007
Last updated
12/14/2020
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