Organization
ST LUKE'S HOME RESIDENTIAL HEALTH CARE FACILITY INC
Active
Other names
MVHS Rehabilitation & Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
CODY WHITE (REVENUE CYCLE DIRECTOR)
(318) 801-4429
Entity
Organization
Contact information
Practice address
1650 CHAMPLIN AVE, UTICA, NY 13502
(315) 624-8600
Mailing address
2209 GENESEE ST/ BUSINESS OFFICE, ROOM #315, UTICA, NY 13501-5809
(315) 801-3282
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3227305N
NY
Other
Enumeration date
11/13/2006
Last updated
07/27/2022
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