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NYSARC NIAGARA COUNTY CHAPTER

Intermediate Care Facility, Mentally Retarded

North Tonawanda, New York

Provider NPI: 1548334683

Organization Information:
Organization Name:  NYSARC NIAGARA COUNTY CHAPTER


Practice Location:
115 MEAD ST  NORTH TONAWANDA, NY 14120 US
Tel: 716-297-6400  Fax: --

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


Taxonomy:

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

Other Provider Identifiers:

IssuerNumberStateType
02175708NY05
OPERATING CERTIFICATE6116462NY01
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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