Crystal Run Village, Inc in Middletown - Intermediate Care Facility, Intellectual Disabilities

Crystal Run Village, Inc - NPI 1386778546

Crystal Run Village, Inc is a Intermediate Care Facility, Intellectual Disabilities in Middletown, New York. Crystal Run Village, Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Crystal Run Village, Inc is 1386778546. The last update date is 2008-03-26.

Crystal Run Village, Inc's current location address is 601 Stony Ford Rd, Middletown, New York. You can contact this provider via phone number 8456924444 and fax number 8456921101. The mailing address for Crystal Run Village, Inc is 601 Stony Ford Rd, Middletown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Crystal Run Village, Inc
Address 601 Stony Ford Rd, Middletown, New York
Phone Number 8456924444
Fax Number 8456921101
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DEPUTY ED
Authorized Official Name Sammis William
Telephone Number 8456952559

NPI Number Detail

NPI Number 1386778546
Provider Enumeration Date 2007-03-16
Last Updated Date 2008-03-26

Provider Mailing Address Detail

Address 601 Stony Ford Rd
City Middletown
State New York (NY)
Post Code 109413951
Phone Number 8456924444
Fax Number 8456921101

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

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FAQs about Crystal Run Village, Inc

What is the Crystal Run Village, Inc's unique identification number?

The Crystal Run Village, Inc has been assigned the NPI (National Provider Identifier) Number 1386778546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Crystal Run Village, Inc?

The Crystal Run Village, Inc is physically situated at 601 Stony Ford Rd, in the city of Middletown, state of NY, with the postal code 109413951.

What is Crystal Run Village, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Crystal Run Village, Inc is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.

When was the Crystal Run Village, Inc's 1386778546 issued?

The Crystal Run Village, Inc's 1386778546 was issued on 2007-03-16.

When was the Crystal Run Village, Inc's information last updated?

The Crystal Run Village, Inc's information was last updated on 2008-03-26.

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