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Organization

CCRN OPERATOR LLC

Active
Other names
Focus Home Care At Otsego
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH ZUPNIK (MANAGING MEMBER)
(845) 704-8000
Entity
Organization

Contact information

Practice address
128 PHOENIX MILLS RD, COOPERSTOWN, NY 13326-5716
(607) 544-2600
Mailing address
128 PHOENIX MILLS RD, COOPERSTOWN, NY 13326-5716
(607) 544-2600

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3824902L
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01204053
NY
Enumeration date
10/13/2014
Last updated
06/08/2015
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