Organization
JOSHUA HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ALVAREZ (EXECUTIVE DIRECTOT)
(607) 563-3994
Entity
Organization
Contact information
Practice address
10 DIVISION STREET, SIDNEY, NY 13838
(607) 563-3994
(607) 563-9936
Mailing address
PO BOX 387, SIDNEY CENTER, NY 13839
(607) 563-3994
(607) 563-9936
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
02257261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02257261
—
NY
Enumeration date
05/04/2007
Last updated
08/22/2020
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