Organization
LORETTO REST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JOHNSON (FINANCE REP)
(315) 413-3688
Entity
Organization
Contact information
Practice address
417 CHURCHILL AVE, SYRACUSE, NY 13205-2124
(314) 475-4388
Mailing address
700 E BRIGHTON AVE, SYRACUSE, NY 13205-2201
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01445192
—
NY
Enumeration date
04/28/2008
Last updated
05/07/2008
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