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MARY CARIOLA CHILDREN'S CENTER, INC.

Intermediate Care Facility, Mentally Retarded

Fairport, New York

Provider NPI: 1265504385

Organization Information:
Organization Name:  MARY CARIOLA CHILDREN'S CENTER, INC.


Practice Location:
6239 PITTSFORD PALMYRA RD  FAIRPORT, NY 14450 US
Tel: 585-223-7847  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
NY6083443

Other Provider Identifiers:

IssuerNumberStateType
00855990NY05
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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