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Organization

WILLCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DONNA V RANIERI RN (RN)
(518) 755-2812
Entity
Organization

Contact information

Practice address
803 GRANT ANENUE, LAKE KATRINE, NY 12449
(845) 331-5064
Mailing address
803 GRANT AVE, LAKE KATRINE, NY 12449-5352
(845) 331-5064

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
457210-1
NY

Other

Enumeration date
08/31/2016
Last updated
08/31/2016
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