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Organization

THE WARTBURG RESIDENTIAL COMMUNITY, INC.

Active
Other names
Wartburg Care at Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID GENTNER (CEO/PRESIDENT)
(914) 513-5311
Entity
Organization

Contact information

Practice address
1 WARTBURG PL, BLDG 10, 2ND FLOOR, MOUNT VERNON, NY 10552-3821
(914) 513-5656
Mailing address
1 WARTBURG PL, BLDG 10, 2ND FLOOR, MOUNT VERNON, NY 10552-3821
(914) 513-5656

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9482L001
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01660457
NY
Enumeration date
01/17/2007
Last updated
10/26/2016
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