Organization
LEILANI RAGUCKAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEILANI RAGUCKAS RN (OWNER)
(315) 344-6604
Entity
Organization
Contact information
Practice address
4396 COUNTY ROUTE 10, DE PEYSTER, NY 13633-0023
(315) 344-6604
Mailing address
PO BOX 23, DE PEYSTER, NY 13633-0023
(315) 344-6604
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
557596
NY
Other
Enumeration date
11/27/2006
Last updated
08/22/2020
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