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Organization

CHAUTAUQUA BLIND ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA GOODELL MPA (EXECUTIVE DIRECTOR)
(716) 664-6660
Entity
Organization

Contact information

Practice address
510 W 5TH ST, JAMESTOWN, NY 14701-4813
(716) 664-6660
(716) 664-1193
Mailing address
510 W 5TH ST, JAMESTOWN, NY 14701-4813
(716) 664-6660
(716) 664-1193

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
08/28/2012
Last updated
08/28/2012
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