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SDTC THE CENTER FOR DISCOVERY

Intermediate Care Facility, Mentally Retarded

Liberty, New York

Provider NPI: 1154493013

Organization Information:
Organization Name:  SDTC THE CENTER FOR DISCOVERY


Practice Location:
96 WAWANDA AVE  LIBERTY, NY 12754 US
Tel: 845-794-1400  Fax: --

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


Taxonomy:

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

Other Provider Identifiers:

IssuerNumberStateType
01008768NY05
OPERATING CERTIFICATE7467441NY01
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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