Organization
CAROLE JENKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE ANN JENKS LPN (LPN)
(518) 621-6626
Entity
Organization
Contact information
Practice address
248 STATE ST, APT 1F., ALBANY, NY 12210-2132
(518) 621-6626
Mailing address
248 STATE ST, APT 1F., ALBANY, NY 12210-2132
(518) 621-6626
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
324373-1
NY
3140N1450X
Pediatric Skilled Nursing Facility
324373-1
NY
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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