Shady Grove Farm and Wellness Center
Shady Grove Farm and Wellness Center is an Early Intervention Provider Agency in Peru, New York. Licensed in New York. Registered with an NPI since 2013.
- Licensed in
- NY
- In the registry since
- 2013
Practice location Address checks out
844 State Route 22BPeru, NY 12972-5421
Phone: (518) 569-3440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence 011853-1 (NY) |
|---|
Record details
| NPI number | 1326388331 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karen Bouchard-Braun — President · (518) 569-3440 |
| NPI enumerated | February 28, 2013 |
| Last updated in NPPES | February 28, 2013 |
| Mailing address | 844 State Route 22b, Peru, NY 12972-5421 |
Other providers in Peru
-
MS. Ann Elizabeth Ford, PT
133 Telegraph Rd, Peru, NY 12972-4113 · (518) 643-9091