Healthcare Provider Details
I. General information
NPI: 1649575549
Provider Name (Legal Business Name): L WOERNER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2011
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
107 WINNEY HILL RD STE 3
ONEONTA NY
13820-1158
US
IV. Provider business mailing address
85 METRO PARK
ROCHESTER NY
14623-2607
US
V. Phone/Fax
- Phone: 518-254-7092
- Fax: 518-823-4006
- Phone: 585-272-1901
- Fax: 585-272-7445
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
LOUISE
WOERNER
Title or Position: CEO
Credential:
Phone: 585-272-1901