MARY CARIOLA CHILDREN'S CENTER, INC.
Intermediate Care Facility, Mentally Retarded
Rush, New York
Provider NPI: 1770655805
Organization Information:Organization Name: MARY CARIOLA CHILDREN'S CENTER, INC.
Practice Location:
549 RUSH SCOTTSVILLE RD RUSH, NY 14543 US
Tel: 585-533-9326 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:
549 RUSH SCOTTSVILLE RD RUSH, NY 14543 US
Tel: 585-533-9326 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | NY | 6083444 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
01272499 | NY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin