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Organization

RENSSELAER OPERATING CO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATHEW VARGHESE MSN, GNP, LNHA (EXECUTIVE DIRECTOR)
(518) 374-2212
Entity
Organization

Contact information

Practice address
284 TROY RD, RENSSELAER, NY 12144-9474
(518) 286-1621
(518) 286-1691
Mailing address
284 TROY RD, RENSSELAER, NY 12144-9474
(518) 286-1621
(518) 286-1691

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4152302N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01073376
NY
Enumeration date
08/26/2010
Last updated
08/26/2010
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