Organization
TERESIAN HOUSE NURSING HOME CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE THERESA RYAN REGISTERED NURSE (MDS COORDINATOR)
(518) 456-2000
Entity
Organization
Contact information
Practice address
200 WASHINGTON AVENUE EXT, ALBANY, NY 12203-5335
(518) 456-2000
Mailing address
200 WASHINGTON AVENUE EXT, ALBANY, NY 12203-5335
(518) 456-2000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00312345
—
NY
05
—
0101313N
—
NY
Enumeration date
10/04/2005
Last updated
05/27/2010
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