Organization
ACADEMY HOUSE FOR ADULTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYDIA ROLLE (OPERATIONS MANAGER)
(845) 292-8343
Entity
Organization
Contact information
Practice address
15 ACADEMY ST, LIBERTY, NY 12754-1794
(845) 292-8343
Mailing address
PO BOX 451, LIBERTY, NY 12754-0451
(845) 292-8343
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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