Organization
THE STRAWBERRY MANSION SOCIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONIQUE DANIELLE GRAVATT (EXECUTIVE DIRECTOR)
(607) 846-3505
Entity
Organization
Contact information
Practice address
415 WILLIAM ST, ELMIRA, NY 14901-2533
(607) 846-3505
(607) 216-3319
Mailing address
415 WILLIAM ST, ELMIRA, NY 14901-2533
(607) 846-3505
(607) 216-3319
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03128645
—
NY
Enumeration date
10/26/2012
Last updated
10/26/2012
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