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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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