Organization
WILLCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JO MCNINCH RN, BSN (BRANCH DIRECTOR)
(585) 593-9410
Entity
Organization
Contact information
Practice address
6762 COUNTY ROAD 20, FRIENDSHIP, NY 14739
(585) 322-2408
Mailing address
6762 COUNTY ROAD 20, FRIENDSHIP, NY 14739
(585) 322-2408
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6442631
NY
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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