Organization
HAMILTON COUNTY
Active
Other names
Certified Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA LYNN TOMLINSON (DIRECTOR)
(518) 648-6141
Entity
Organization
Contact information
Practice address
139 WHITE BIRCH LANE, INDIAN LAKE, NY 12842-0250
(518) 648-6141
(518) 648-6143
Mailing address
P.O. BOX 250, INDIAN LAKE, NY 12842-0250
(518) 648-6141
(518) 648-6143
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2055601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02997386
—
NY
Enumeration date
10/18/2006
Last updated
01/29/2024
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