Organization
ST LUKE'S HOME RESIDENTIAL HEALTHCARE FACILITY INC
Active
Parent organization
ST LUKE'S RESIDENTIAL HEALTHCARE FACILITY INC
Other names
MVHS Rehabilitation and Nursing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKE'S RESIDENTIAL HEALTHCARE FACILITY INC
Authorized official
CODY WHITE (REVENUE CYCLE DIRECTOR)
(315) 801-4429
Entity
Organization
Contact information
Practice address
1650 CHAMPLIN AVE., UTICA, NY 13502
(315) 624-8600
(315) 624-5152
Mailing address
2209 GENESEE ST/ BUSINESS OFFICE, ROOM #315, UTICA, NY 13501-5809
(315) 801-3282
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02779720
—
NY
Enumeration date
10/10/2006
Last updated
05/09/2024
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