Organization
THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC.
Active
Other names
Wartburg Outpatient Rehabilitation Services
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, MOUNT VERNON, NY 10552-3821
(914) 699-0800
(914) 699-2512
Mailing address
1 WARTBURG PL, MOUNT VERNON, NY 10552-3821
(914) 699-0800
(914) 699-2512
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
5903309N
NY
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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