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Organization

EDEN PARK HEALTH SERVICES, INC.

Active
Other names
Eden Park NH Utica
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT GLOCK (PRESIDENT)
(518) 436-4731
Entity
Organization

Contact information

Practice address
1800 BUTTERFIELD AVE, UTICA, NY 13501-5610
(315) 797-3570
Mailing address
22 HOLLAND AVE, ALBANY, NY 12209-1713
(518) 436-4731

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3202311N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00312230
NY
Enumeration date
11/08/2006
Last updated
04/29/2008
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