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Organization

INTERIM HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATELYN MARIE DARDER (LPN)
(845) 399-4624
Entity
Organization

Contact information

Practice address
2088 S DRY BROOK RD, HANCOCK, NY 13783-3442
(845) 399-4624
Mailing address
2088 S DRY BROOK RD, HANCOCK, NY 13783-3442

Taxonomy

Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
310466
NY

Other

Enumeration date
08/04/2016
Last updated
08/04/2016
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