Organization
WAGNERNURSE& MPA INC
Active
Other names
Wagner Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE T POWER (ADMINISTRATOR)
(212) 838-5930
Entity
Organization
Contact information
Practice address
3631 GREYSTONE AVE, BRONX, NY 10463-2045
(212) 838-5930
(718) 884-0497
Mailing address
3631 GREYSTONE AVE, BRONX, NY 10463-2045
(212) 838-5930
(718) 884-0497
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1194L001
NY
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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