Wellsville Manor LLC
NPI #1225019029 in Wellsville, New York
Provider Information
- NPI Number
- 1225019029
- Entity Type
- Organization
- Organization Name
- Wellsville Manor LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Nov 9, 2005
- Last Updated
- Sep 9, 2015
Practice Location
- Address
- 4192A BOLIVAR RD
- City
- Wellsville
- State
- New York
- ZIP Code
- 14895-9325
- Phone
- (585) 593-4400
Authorized Official
- Name
- MR. JONATHAN GEWIRTZ
- Title
- MANAGER, FISCAL OVERSIGHT
- Phone
- (914) 588-8379
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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