Organization
COUNTY OF SULLIVAN
Active
Other names
Sullivan County Adult Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA POTOSEK (COUNTY MANAGER)
(845) 807-0450
Entity
Organization
Contact information
Practice address
256 SUNSET LAKE RD., LIBERTY, NY 12754-0671
(845) 292-8640
(845) 513-2177
Mailing address
PO BOX 671, LIBERTY, NY 12754-0671
(845) 292-8640
(845) 513-2177
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309040
—
NY
Enumeration date
06/28/2005
Last updated
12/17/2025
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