Organization
CARMEL WOLFE HILLCREST SPRING RESIDENTIAL ADULT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA LYNN STEVENSON (CONTROLLER)
(518) 843-3770
Entity
Organization
Contact information
Practice address
5052 STATE HIGHWAY 30, AMSTERDAM, NY 12010-7534
(518) 843-3770
(518) 843-3878
Mailing address
PO BOX 368, AMSTERDAM, NY 12010-0368
(518) 843-3770
(518) 843-3878
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9502L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01434555
—
NY
Enumeration date
07/19/2007
Last updated
06/17/2008
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