Organization
CATHOLIC MANAGED LTC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ENEIDA MORALES RN (NURSE MANAGER)
(718) 732-7171
Entity
Organization
Contact information
Practice address
109 HILLCREST RD, MOUNT VERNON, NY 10552-1510
(914) 668-3068
Mailing address
109 HILLCREST RD, MOUNT VERNON, NY 10552-1510
(914) 668-3068
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NY
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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