Organization
CRYSTAL RUN VILLAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SAMMIS (DEPUTY DIRECTOR OF ADMIN SERVICES)
(845) 695-2559
Entity
Organization
Contact information
Practice address
601 STONY FORD RD, MIDDLETOWN, NY 10941-3951
(845) 692-4444
(845) 695-1101
Mailing address
601 STONY FORD RD, MIDDLETOWN, NY 10941-3951
(845) 692-4444
(845) 695-1101
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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