Organization
CASTLE REST NURSING HOME
Active
Other names
Vivian Teal Howard Residential Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUISE OTOOLE JR. (CFO)
(315) 475-1641
Entity
Organization
Contact information
Practice address
116 E CASTLE ST, SYRACUSE, NY 13205-1110
(315) 475-1641
(315) 478-0688
Mailing address
116 E CASTLE ST, SYRACUSE, NY 13205-1110
(315) 475-1641
(315) 478-0688
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3301326N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474415
—
NY
05
—
01992130
—
NY
Enumeration date
11/25/2005
Last updated
09/10/2007
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