Organization
LORETTO HEALTH AND REHABILITATION CENTER
Active
Parent organization
LORETTO REHABILITAION CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LORETTO REHABILITAION CENTER
Authorized official
MARIA JOHNSON (BILLING SUPERVISOR)
(315) 413-3688
Entity
Organization
Contact information
Practice address
161 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 474-1478
(314) 474-7413
Mailing address
700 E BRIGHTON AVE, SYRACUSE, NY 13205-2201
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00582554
—
NY
Enumeration date
08/27/2007
Last updated
06/24/2008
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