Organization
SCO FAMILY OF SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS O'DELL (CEO)
(516) 671-1253
Entity
Organization
Contact information
Practice address
1 ALEXANDER PL, GLEN COVE, NY 11542-3745
(516) 759-1844
(516) 759-6921
Mailing address
1 ALEXANDER PL, GLEN COVE, NY 11542-3745
(516) 759-1844
(516) 759-6921
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01024648
—
NY
Enumeration date
12/21/2006
Last updated
11/14/2014
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