Organization
MARTIN LUTHER NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DURR (ADMINISTRATOR)
(315) 235-7180
Entity
Organization
Contact information
Practice address
110 UTICA RD, CLINTON, NY 13323-1548
(315) 853-5515
Mailing address
110 UTICA RD, CLINTON, NY 13323-1548
(315) 853-5515
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
02329739
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474373
—
NY
Enumeration date
11/16/2006
Last updated
08/22/2020
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