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Organization

CROUSE-COMMUNITY CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VICKI L HIGHERS (CONTROLLER)
(315) 684-5117
Entity
Organization

Contact information

Practice address
101 SOUTH ST, MORRISVILLE, NY 13408-2106
(315) 684-9595
(315) 684-9275
Mailing address
101 SOUTH ST, MORRISVILLE, NY 13408-2106
(315) 684-9595
(315) 684-9275

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
314000000X
Skilled Nursing Facility
Primary
2623300N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00474337
NY
05
01927999
NY
Enumeration date
11/16/2005
Last updated
02/22/2023
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