Organization
ONTARIO COUNTY LT HOME HEALTH AGENCY
Active
Other names
ONtario County CommUnity Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODY GRAY (DIRECTOR)
(585) 396-4354
Entity
Organization
Contact information
Practice address
3019 COUNTY COMPLEX DR, CANANDAIGUA, NY 14424-9505
(585) 396-4094
(396) 396-4313
Mailing address
3019 COUNTY COMPLEX DR, CANANDAIGUA, NY 14424-9505
(585) 396-4094
(396) 396-4313
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3429901L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00984285
—
NY
01
—
103317CI
PREFERRED CARE
NY
Enumeration date
07/08/2005
Last updated
08/22/2020
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