Organization
ST. COLMAN'S HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOTHER MARY CARMEL (EXECUTIVE DIRECTOR)
(518) 273-4911
Entity
Organization
Contact information
Practice address
11 HASWELL RD, WATERVLIET, NY 12189-1302
(518) 273-4911
(518) 273-3312
Mailing address
11 HASWELL RD, WATERVLIET, NY 12189-1302
(518) 273-4911
(518) 273-3312
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
VID 00A02095
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00353622
—
NY
Enumeration date
03/08/2007
Last updated
08/22/2020
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