Organization
CEREBRAL PALSY & HANDICAPPED CHILDRENS ASSOC. OF CHEMUNG CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PETERS (EXECUTIVE DIRECTOR)
(607) 734-7107
Entity
Organization
Contact information
Practice address
1239 N HOFFMAN RD, ELMIRA, NY 14903-9230
(607) 732-8166
Mailing address
PO BOX 1554, 1118 CHARLES ST, ELMIRA, NY 14902-1554
(607) 734-7107
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
6515441
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01224446
—
NY
Enumeration date
02/07/2007
Last updated
09/09/2008
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