Organization
WILLCARE
Active
Organization
WILLCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO MCNINCH (DIRECTOR)
(585) 593-9410
Entity
Organization
Contact information
Practice address
95 N MAIN ST, WELLSVILLE, NY 14895-1280
(585) 593-9410
Mailing address
95 N MAIN ST, WELLSVILLE, NY 14895-1280
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
72 087951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72 087951
NYS BOARD OF EDUCATION
NY
Enumeration date
01/29/2016
Last updated
01/29/2016
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