Organization
NORTHBROOK HEIGHTS ALP
Active
Organization
NORTHBROOK HEIGHTS ALP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASEY KING (ADMINISTRATOR)
(315) 253-2755
Entity
Organization
Contact information
Practice address
170 MURRAY ST, AUBURN, NY 13021-1335
(315) 253-2755
Mailing address
170 MURRAY ST, AUBURN, NY 13021-1335
(315) 253-2755
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02044888
—
NY
05
—
02132525
—
NY
Enumeration date
04/29/2008
Last updated
05/09/2008
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