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LORETTO GERIATRIC COMMUNITY RESIDENCE

Assisted Living, Mental Illness

Syracuse, New York

Provider NPI: 1770783813

Organization Information:
Organization Name:  LORETTO GERIATRIC COMMUNITY RESIDENCE


Practice Location:
750 E BRIGHTON AVE  SYRACUSE, NY 13205 US
Tel: 315-413-3658  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness

Other Provider Identifiers:

IssuerNumberStateType
01386938NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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