Organization
ICC MANAGEMENT & CONSULTING, INC
Active
Other names
The Mansion at South Union
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA PEEK (BUSINESS OFFICE DIRECTOR)
(518) 727-3802
Entity
Organization
Contact information
Practice address
11 S UNION ST, CAMBRIDGE, NY 12816-1008
(518) 677-3711
Mailing address
PO BOX 1355, ALBANY, NY 12201-1355
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04338327
—
NY
Enumeration date
06/18/2020
Last updated
06/18/2020
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