SCHUYLER COUNTY CHAPTER, NYSARC, INC.
Intermediate Care Facility, Mental Illness
Watkins Glen, New York
Provider NPI: 1598839300
Organization Information:Organization Name: SCHUYLER COUNTY CHAPTER, NYSARC, INC.
Practice Location:
203 12TH STREET WATKINS GLEN, NY 14891 US
Tel: 607-535-6934 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
203 12TH STREET WATKINS GLEN, NY 14891 US
Tel: 607-535-6934 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | NY | 7096441 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
00798045 | NY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin