Organization
IDEAL SENIOR LIVING CENTER HOUSING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN BARBIERI (CONTROLLER)
(607) 786-7307
Entity
Organization
Contact information
Practice address
600 HIGH AVE, ENDICOTT, NY 13760-4789
(607) 786-7300
(607) 786-7417
Mailing address
508 HIGH AVE, ENDICOTT, NY 13760-4719
(607) 786-7307
(607) 786-7417
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
030E039
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01945399
—
NY
Enumeration date
04/29/2008
Last updated
04/10/2015
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