Wayne County Dept of Aging and Youth

NPI #1306103569 in Lyons, New York

Provider Information

NPI Number: 1306103569
Entity Type: Organization
Organization Name: Wayne County Dept of Aging and Youth
Subpart: Yes (part of a larger organization)
Parent Organization: WAYNE COUNTY
Primary Specialty: In Home Supportive Care
Enumeration Date: Apr 12, 2012
Last Updated: Apr 12, 2012

Practice Location

Address: 1519 NYE RD STE 300
City: Lyons
State: New York
ZIP Code: 14489-9115
Phone: (315) 946-5624

Authorized Official

Name: MS. PENNY W SHOCKLEY
Title: DIRECTOR
Phone: (315) 946-5624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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