St Teresas Nursing Home Inc

NPI 1114921004 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1114921004
Enumeration Date 06/08/2005
Last Updated 03/26/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ANNMARIE ANNMARIE
Position SRVP CFO
Phone (845) 342-1033
Fax (845) 344-5631
Practice Location
120 HIGHLAND AVENUE
MIDDLETOWN NY, 10940, US
Phone (845) 342-1033
Fax (845) 344-5631
Business Location
120 HIGHLAND AVE
MIDDLETOWN NY, 10940-4713, US
Phone (845) 342-1033
Fax (845) 344-5631
Toxanomy
Taxonomy Code 314000000X
License State New York
License Number 3501302N
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According to our database, St Teresas Nursing Home Inc NPI is 1114921004, taxonomy code is 314000000X and license number is 3501302N, license state is located at New York. St Teresas Nursing Home Inc physically located at 120 Highland Avenue, Middletown NY, 10940. NPI Number 1033115704 has the healthcare provider type.

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1114921004 NPI number is provided on an as is basis without warranty of any kind. 1114921004 is maintained by the National Plan & Provider Enumeration System. The contents of St Teresas Nursing Home Inc are for informational purposes only.