# KAATSKILL ELDERCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629633763
- **Authorized official:** KELLIE SULLIVAN (PRESIDENT/OWNER)
- **Authorized official phone:** (607) 373-9811

## Contact information

- **Practice address:** 2000 COUNTY HIGHWAY 41, ROXBURY, NY 12474-1412
- **Practice address phone:** (607) 373-9811
- **Mailing address:** 2000 COUNTY HIGHWAY 41, ROXBURY, NY 12474-1412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2019
- **Last updated:** 05/03/2019