Organization
YATES COUNTY CHAPTER NYSARC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE RIBBLE (REVENUE ACCOUNTANT)
(315) 536-7447
Entity
Organization
Contact information
Practice address
235 NORTH AVE, PENN YAN, NY 14527-1051
(315) 536-7447
(315) 536-3281
Mailing address
235 NORTH AVE, PENN YAN, NY 14527-1051
(315) 536-7447
(315) 536-3281
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336593920
—
NY
Enumeration date
08/01/2019
Last updated
08/01/2019
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