Organization
FORT HUDSON CERTIFIED HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WILLIAM COBURN (CHIEF FINANCIAL OFFICER)
(518) 747-2811
Entity
Organization
Contact information
Practice address
319 BROADWAY, FORT EDWARD, NY 12828-1221
(518) 747-2811
(518) 747-2740
Mailing address
319 BROADWAY, FORT EDWARD, NY 12828-1221
(518) 747-2811
(518) 747-2740
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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