Organization
CATHOLIC MANAGED LONG TERM CARE INC
Active
Other names
ArchCare Senior Life
Organization subpart
No
Provider details
NPI number
Authorized official
MAURA J SWEENEY (EXECUTIVE DIRECTOR)
(212) 752-2404
Entity
Organization
Contact information
Practice address
1432 FIFTH AVENUE, NEW YORK, NY 10026
(212) 752-2404
Mailing address
1432 FIFTH AVENUE, NEW YORK, NY 10026
(212) 752-2404
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03114514
—
NY
Enumeration date
08/18/2009
Last updated
08/18/2009
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