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UPSTATE CEREBRAL PALSY, INC

Intermediate Care Facility, Mentally Retarded

Rome, New York

Provider NPI: 1780745778

Organization Information:
Organization Name:  UPSTATE CEREBRAL PALSY, INC


Practice Location:
122 BROOKLEY ROAD CRP #6 ROME, NY 13341 US
Tel: 315-533-1166  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
NY02709328

Other Provider Identifiers:

IssuerNumberStateType
02709328NY05
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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