Organization
WAYNE ARC
Active
Other names
roosevelt childrens center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM F SCHRADER (LPN)
(315) 946-6364
Entity
Organization
Contact information
Practice address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
Mailing address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
275651
NY
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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