NPI: 1700870011
Provider Name: NASCENTIA COMMUNITY CARE
Former Legal Business Name: CCH HOME CARE & PALLIATIVE SERVICES, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization
Specialization: Primary Care
CLIA Number: 33D2273747
Address:
1050 W GENESEE ST
SYRACUSE, NY
ZIP 13204
Phone: (315) 641-2385
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NASCENTIA COMMUNITY CARE is a primary care clinic center in Syracuse, NY. NASCENTIA COMMUNITY CARE NPI is 1700870011. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Cch Home Care & Palliative Services, Inc..
The provider's business location address is:
1050 W GENESEE ST
SYRACUSE, NY
ZIP 13204-215
Phone: (315) 641-2385
The provider's authorized official is Mary Kate Rolf .
The authorized official title is President/ceo and has the following contact phone number (315) 477-9595.
The CLIA number assigned to this NPI record is 33D2273747 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/1/2005 and was last updated on 7/25/2023.