Wegman Family (brockport) LLC II

NPI #1326376468 in Brockport, New York

Provider Information

NPI Number
1326376468
Entity Type
Organization
Organization Name
Wegman Family (brockport) LLC II
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 1, 2009
Last Updated
Dec 1, 2009

Practice Location

Address
90 WEST AVE
ZIP Code
14420-1306
Phone
(585) 637-3140

Authorized Official

Name
NOELLE DIAZ BICKEL
Title
LICENSING SPECIALIST
Phone
(206) 298-2909

Specialties & Taxonomy Codes

Specialty
Alzheimer Center (Dementia Center)
Assisted Living Facility

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