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LOTT ASSISTED LIVING RESIDENCE

Assisted Living Facility

New York, New York

Provider NPI: 1629250378

Organization Information:
Organization Name:  LOTT ASSISTED LIVING RESIDENCE


Practice Location:
1261 5TH AVE  NEW YORK, NY 10029 US
Tel: 212-534-6464  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
NY420S378

Other Provider Identifiers:

IssuerNumberStateType
02073976NY05
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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