Organization
LORETTO-BUCKLEY LANDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JOHNSON (BILLING SUPERVISOR)
(315) 413-3688
Entity
Organization
Contact information
Practice address
7430 BUCKLEY RD, NORTH SYRACUSE, NY 13212-1947
(315) 413-3688
Mailing address
7430 BUCKLEY RD, NORTH SYRACUSE, NY 13212-1947
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
520-S-124
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01445330
—
NY
Enumeration date
07/18/2007
Last updated
06/24/2008
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