Organization
HYDE PARK ASSISTED LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES KENNETH ROGERS RN (PRESIDENT)
(845) 204-9572
Entity
Organization
Contact information
Practice address
394 VIOLET AVE, POUGHKEEPSIE, NY 12601-1034
(845) 204-9572
Mailing address
394 VIOLET AVE, POUGHKEEPSIE, NY 12601-1034
(845) 204-9572
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
230F282
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001
—
NY
Enumeration date
11/11/2016
Last updated
11/11/2016
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