Organization
LORETTO UTICA RESIDENTIAL HEALTH CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE SYNOKOWSKI ADMINISTRATOR (EXECUTIVE DIRETOR)
(315) 732-0100
Entity
Organization
Contact information
Practice address
1445 KEMBLE ST, UTICA, NY 13501-4441
(315) 732-0100
(315) 733-5718
Mailing address
1445 KEMBLE ST, UTICA, NY 13501-4441
(315) 732-0100
(315) 733-5718
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03A1629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01640904
—
NY
05
—
01640913
—
NY
Enumeration date
01/23/2007
Last updated
03/25/2008
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