Organization
FIREMEN'S HOME OF THE STATE OF NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG E WITTMAN LNHA (ADMINISTRATOR)
(518) 828-7695
Entity
Organization
Contact information
Practice address
125 HARRY HOWARD AVE, HUDSON, NY 12534-1601
(518) 828-7695
(518) 828-1092
Mailing address
125 HARRY HOWARD AVE, HUDSON, NY 12534-1601
(518) 828-7695
(518) 828-1092
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
1001303N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001303N
OPERATING CERTIFICATE
NY
Enumeration date
04/26/2007
Last updated
08/22/2020
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