Organization
ROOSEVELT CHILDREN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FONDA E BENNE RN (DIRECTOR OF NURSING SERVICES)
(315) 331-5001
Entity
Organization
Contact information
Practice address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
Mailing address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
476400
NY
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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