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Organization

HOSPICE OF FULTON COUNTY INC

Active
Other names
Mountain Valley Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUSAN M FRASIER RN (PRESIDENT/CEO)
(518) 725-4545
Entity
Organization

Contact information

Practice address
108 STEELE AVE, GLOVERSVILLE, NY 12078-4617
(518) 725-4545
(518) 725-8066
Mailing address
108 STEELE AVE, GLOVERSVILLE, NY 12078-4617
(518) 725-4545
(518) 725-8066

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1701500F
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01062317
NY
01
0124
BSNENY
NY
01
2995
MVP
NY
Enumeration date
07/28/2006
Last updated
04/14/2015
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