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Organization
CCRN OPERATOR LLC
Active
Organization
CCRN OPERATOR LLC
Active
Other names
Focus Home Care At Otsego
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ZUPNIK (MANAGING MEMBER)
(845) 704-8000
Entity
Organization
Contact information
Practice address
128 PHOENIX MILLS RD, COOPERSTOWN, NY 13326-5716
(607) 544-2600
Mailing address
128 PHOENIX MILLS RD, COOPERSTOWN, NY 13326-5716
(607) 544-2600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3824902L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01204053
—
NY
Enumeration date
10/13/2014
Last updated
06/08/2015
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