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Organization
COUNTY OF OTSEGO
Active
Organization
COUNTY OF OTSEGO
Active
Parent organization
COUNTY OF OTSEGO
Other names
OTSEGO MANOR LTHHCP
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF OTSEGO
Authorized official
MARY REITZ RN (DIRECTOR OF PATIENT SERVICES)
(607) 544-2684
Entity
Organization
Contact information
Practice address
128 PHOENIX MILLS CROSS RD, COOPERSTOWN, NY 13326-5716
(607) 544-2684
(607) 544-2716
Mailing address
128 PHOENIX MILLS CROSS RD, COOPERSTOWN, NY 13326-5716
(607) 544-2684
(607) 544-2716
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3824901L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01204053
—
NY
Enumeration date
02/05/2007
Last updated
08/30/2012
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