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CATHOLIC CHARITIES DISABILITIES SERVICES

Intermediate Care Facility, Mentally Retarded

Latham, New York

Provider NPI: 1811057383

Organization Information:
Organization Name:  CATHOLIC CHARITIES DISABILITIES SERVICES


Practice Location:
15 AVIS DR  LATHAM, NY 12110 US
Tel: 518-783-1111  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
NY7582442

Other Provider Identifiers:

IssuerNumberStateType
01203947NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS NY - Page 1



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