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Organization
CRYSTAL RUN VILLAGE INC
Active
Organization
CRYSTAL RUN VILLAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SAMMIS (DEPUTY ED OF ADMIN SERVICES)
(845) 695-2559
Entity
Organization
Contact information
Practice address
601 STONY FORD RD, MIDDLETOWN, NY 10941-3951
(845) 692-4444
(845) 692-1101
Mailing address
601 STONY FORD RD, MIDDLETOWN, NY 10941-3951
(845) 692-4444
(845) 692-1101
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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