Organization
DANFORTH ADULT CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN MAZULA (OWNER)
(518) 459-0786
Entity
Organization
Contact information
Practice address
19 DANFORTH ST, HOOSICK FALLS, NY 12090-1223
(518) 686-5167
(518) 686-4428
Mailing address
23 COMPUTER DR E, ALBANY, NY 12205-1276
(518) 459-0786
(518) 459-0775
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0815L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01437278
—
NY
Enumeration date
12/21/2006
Last updated
08/22/2020
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