Organization
STACEY FREDERICK COMPASSIONATE CARE
Active
Other names
STACEY FREDERICK
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STACEY L FREDERICK (LPN)
(845) 797-9213
Entity
Organization
Contact information
Practice address
20 RED MAPLE RD, SAUGERTIES, NY 12477-9326
(845) 797-9213
Mailing address
20 RED MAPLE RD, SAUGERTIES, NY 12477-9326
(845) 797-9213
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
266189-1
NY
251S00000X
Community/Behavioral Health Agency
266189-1
NY
252Y00000X
Early Intervention Provider Agency
266189-1
NY
261QA1903X
Ambulatory Surgical Clinic/Center
266189-1
NY
273R00000X
Psychiatric Hospital Unit
266189-1
NY
305R00000X
Preferred Provider Organization
266189-1
NY
305S00000X
Point of Service
266189-1
NY
311Z00000X
Custodial Care Facility
266189-1
NY
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
266189-1
NY
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
266189-1
NY
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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