Organization
ST TERESAS NURSING HOME INC
Active
Other names
St Teresas Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANNMARIE COVONE (SRVP CFO)
(646) 633-4702
Entity
Organization
Contact information
Practice address
120 HIGHLAND AVENUE, MIDDLETOWN, NY 10940
(845) 342-1033
(845) 344-5631
Mailing address
120 HIGHLAND AVE, MIDDLETOWN, NY 10940-4713
(845) 342-1033
(845) 344-5631
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3501302N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310738
—
NY
01
—
3501302N
OPERATING CERTIFICATE
NY
Enumeration date
06/08/2005
Last updated
03/26/2008
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