Organization
LORETTO UTICA PROPERTIES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE SYNAKOWSKI NHA (EXECUTIVE DIRECTOR)
(315) 732-0100
Entity
Organization
Contact information
Practice address
1445 KEMBLE ST, UTICA, NY 13501-4441
(315) 732-0100
Mailing address
1445 KEMBLE ST, UTICA, NY 13501-4441
(315) 732-0100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
510-S-060
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01589353
—
NY
Enumeration date
09/12/2007
Last updated
10/05/2007
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