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Organization

COUNTY OF SULLIVAN

Active
Other names
Sullivan County Public Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JILL HUBERT-SIMON MS (DEPUTY DIRECTOR)
(845) 292-5910
Entity
Organization

Contact information

Practice address
50 COMMUNITY LN, LIBERTY, NY 12754-2851
(845) 292-5910
(845) 513-2276
Mailing address
50 COMMUNITY LN, PO BOX 590, LIBERTY, NY 12754-2851
(845) 292-5910
(845) 513-2276

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NY
251K00000X
Public Health or Welfare Agency
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00966770
NY
Enumeration date
08/02/2005
Last updated
07/08/2024
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