Organization
ST LUKE HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W TRAVERS (CONTROLLER)
(315) 342-3166
Entity
Organization
Contact information
Practice address
299 E RIVER RD, OSWEGO, NY 13126-6400
(315) 342-3166
(315) 343-6531
Mailing address
299 E RIVER RD, OSWEGO, NY 13126-6400
(315) 342-3166
(315) 343-6531
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0804L001
LICENSE NUMBER
NY
Enumeration date
11/01/2006
Last updated
08/22/2020
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