Organization
GREATER ADIRONDACK HOME AIDES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R NELSEN (EXECUTIVE DIRECTOR)
(518) 926-7070
Entity
Organization
Contact information
Practice address
25 WILLOWBROOK RD STE 4, QUEENSBURY, NY 12804-3137
(518) 926-7070
(518) 926-1521
Mailing address
PO BOX 678, GLENS FALLS, NY 12801-0678
(518) 926-7070
(518) 926-7074
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0678L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00358076
—
NY
Enumeration date
07/13/2005
Last updated
06/14/2024
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