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Organization

SARATOGA COUNTY

Active
Other names
Saratoga County Maplewood Manor
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANE L BROWN (ADMINISTRATOR)
(518) 885-2218
Entity
Organization

Contact information

Practice address
149 BALLSTON AVENUE, BALLSTON SPA, NY 12020
(518) 885-2288
(518) 885-2221
Mailing address
149 BALLSTON AVENUE, BALLSTON SPA, NY 12020
(518) 885-2288
(518) 885-2221

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4520301N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00473809
NY
Enumeration date
08/26/2006
Last updated
08/01/2007
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