Organization
WHITEBOARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAHRENA ENGRAM (ORGANIZER)
(315) 542-6118
Entity
Organization
Contact information
Practice address
615 JAY ST APT E, UTICA, NY 13501-1322
(315) 542-6118
Mailing address
615 JAY ST APT E, UTICA, NY 13501-1322
(315) 542-6118
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
305S00000X
Point of Service
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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