Organization
H C WATSON CORPORATION
Active
Other names
Interim HealthCare Buffalo
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH C KETTEMAN (VICE PRESIDENT/AREA MANAGER)
(716) 852-5900
Entity
Organization
Contact information
Practice address
361 DELAWARE AVE, SUITE 400, BUFFALO, NY 14202-1622
(716) 852-5900
(716) 852-5913
Mailing address
361 DELAWARE AVE, SUITE 400, BUFFALO, NY 14202-1622
(716) 852-5900
(716) 852-5913
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0124L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00676393
—
NY
05
—
00806726
—
NY
Enumeration date
07/09/2006
Last updated
11/25/2008
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