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Organization

LUTHERAN HOME OF CENTRAL NEW YORK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MICHELLE KOHL (ADMINISTRATOR)
(315) 235-7141
Entity
Organization

Contact information

Practice address
108 UTICA RD, CLINTON, NY 13323-1548
(315) 235-7142
Mailing address
108 UTICA RD, CLINTON, NY 13323-1548
(315) 235-7142

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
311ZA0620X
Adult Care Home Facility
Primary
510-E-007
NY

Other

Enumeration date
11/03/2006
Last updated
07/31/2025
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