Organization
ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC.
Active
Other names
St. Luke ADHC
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY YOUNGS (CONTROLLER)
(315) 342-3166
Entity
Organization
Contact information
Practice address
299 E RIVER RD, OSWEGO, NY 13126-6400
(315) 342-3166
(315) 343-6531
Mailing address
299 E RIVER RD, OSWEGO, NY 13126-6400
(315) 342-3166
(315) 343-6531
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01407538
—
NY
Enumeration date
10/20/2006
Last updated
07/14/2022
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