Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENA M MOSES (DIRECTOR)
(845) 559-7729
Entity
Organization
Contact information
Practice address
48 SMITH ST, POUGHKEEPSIE, NY 12601-2606
(845) 559-7729
(845) 849-0874
Mailing address
PO BOX 1228, POUGHKEEPSIE, NY 12602-1228
(845) 559-7729
(845) 849-0874
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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