Organization
ELMCREST CHILDRENS CENTER
Active
Other names
Casey's Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E HENLEY (EXECUTIVE DIRECTOR)
(315) 446-6250
Entity
Organization
Contact information
Practice address
228 LAFAYETTE RD, SYRACUSE, NY 13205-2921
(315) 492-9990
Mailing address
960 SALT SPRINGS RD, SYRACUSE, NY 13224-1639
(315) 446-6250
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02622306
—
NY
Enumeration date
03/13/2007
Last updated
08/22/2020
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