OrganizationActive
Loren Kenney
NPI 1215460787 · Custodial Care Facility · Wading River, NY
Provider details
- NPI number
- 1215460787
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Loren Kenney, RN
- License
- 655123 (NY)
Mailing address
464 Remsen Rd
Wading River, NY 11792-1747
Registry dates
- Enumerated
- 2017-04-11
- Last updated
- 2017-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.