Organization
IDEAL SENIOR LIVING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN BARBIERI (CONTROLLER)
(607) 786-7307
Entity
Organization
Contact information
Practice address
508 HIGH AVE, ENDICOTT, NY 13760-4789
(607) 786-7300
(607) 786-7417
Mailing address
508 HIGH AVE, ENDICOTT, NY 13760-4789
(607) 786-7300
(607) 786-7417
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0303902L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01195197
—
NY
Enumeration date
03/21/2006
Last updated
04/13/2015
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