Organization
NURSING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVONNE SHARON ALEXANDRE (LPN)
(585) 287-4014
Entity
Organization
Contact information
Practice address
85 LINHOME DR APT 8, WEST HENRIETTA, NY 14586-9963
(585) 287-4014
Mailing address
85 LINHOME DRIVE #8, WEST HENRIETTA, NY 14586
(585) 287-4014
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
308528
NY
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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