Libertyarc

NPI 1003998113 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1003998113
Enumeration Date 10/19/2006
Last Updated 08/13/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name FRANK FRANK
Position CEO
Phone (518) 954-3380
Fax
Practice Location
43 LIBERTY DR
AMSTERDAM NY, 12010-5635, US
Phone (518) 954-3380
Fax
Business Location
43 LIBERTY DR
AMSTERDAM NY, 12010-5635, US
Phone (518) 954-3380
Fax
Toxanomy
Taxonomy Code 320600000X
License State New York
License Number 014726-1
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According to our database, Libertyarc NPI is 1003998113, taxonomy code is 320600000X and license number is 014726-1, license state is located at New York. Libertyarc physically located at 43 Liberty Dr, Amsterdam NY, 12010-5635. NPI Number 1033115704 has the healthcare provider type.

1003998113 NPI number is provided on an as is basis without warranty of any kind. 1003998113 is maintained by the National Plan & Provider Enumeration System. The contents of Libertyarc are for informational purposes only.