Organization
JOSHUA HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL ALVAREZ (EXECUTIVE DIRECTOR)
(607) 563-3994
Entity
Organization
Contact information
Practice address
10 DIVISION STREET, SIDNEY, NY 13838
(607) 563-3994
(607) 563-9936
Mailing address
PO BOX 387, SIDNEY CENTER, NY 13839-0387
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02699310
—
NY
Enumeration date
05/18/2007
Last updated
08/22/2020
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