Provider Demographics
NPI:1114067394
Name:ALLEGANY COUNTY CHAPTER NYSARC INC
Entity Type:Organization
Organization Name:ALLEGANY COUNTY CHAPTER NYSARC INC
Other - Org Name:ALLEGANY ARC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:F
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-593-5700
Mailing Address - Street 1:240 OCONNOR ST
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14895-1055
Mailing Address - Country:US
Mailing Address - Phone:585-593-5700
Mailing Address - Fax:585-593-4529
Practice Address - Street 1:240 OCONNOR ST
Practice Address - Street 2:
Practice Address - City:WELLSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14895-1055
Practice Address - Country:US
Practice Address - Phone:585-593-5700
Practice Address - Fax:585-593-4529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health