Organization
OUR LADY OF MERCY LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY I HALE (EXECUTIVE DIRECTOR)
(518) 464-8100
Entity
Organization
Contact information
Practice address
2 MERCYCARE LN, GUILDERLAND, NY 12084-3505
(518) 464-8100
(518) 464-8111
Mailing address
2 MERCYCARE LN, GUILDERLAND, NY 12084-3505
(518) 464-8100
(518) 464-8111
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0155301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01417409
—
NY
Enumeration date
09/13/2005
Last updated
07/24/2008
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