FIREMEN'S HOME OF THE STATE OF NEW YORK
Nursing Care, Pediatric
Hudson, New York
Provider NPI: 1265652838
Organization Information:Organization Name: FIREMEN'S HOME OF THE STATE OF NEW YORK
Practice Location:
125 HARRY HOWARD AVE HUDSON, NY 12534 US
Tel: 518-828-7695 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:
125 HARRY HOWARD AVE HUDSON, NY 12534 US
Tel: 518-828-7695 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | NY | 1001303N |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
OPERATING CERTIFICATE | 1001303N | NY | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin