Organization
ST LUKE'S HOME RESIDENTIAL HEALTHCARE FACILITY INC
Active
Other names
MVHS Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
CODY WHITE (EXECUTIVE DIRECTOR)
(315) 801-4429
Entity
Organization
Contact information
Practice address
1650 CHAMPLIN AVE, UTICA, NY 13502
(315) 624-8600
Mailing address
2209 GENESEE ST OFC ROOM315, UTICA, NY 13501-5930
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3227305N
NY
Other
Enumeration date
10/10/2006
Last updated
07/27/2022
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