St Luke's Residential Healthcare Facility Inc

NPI 1003904863

Information of St Luke's Residential Healthcare Facility Inc

The NPI 1003904863 is an Organization type. NPI No 1003904863 belongs to St Luke's Residential Healthcare Facility Inc. St Luke's Residential Healthcare Facility Inc specializes in Skilled Nursing Facility. is practising at 1650 Champlin Ave, Utica, New York 13502. You can also contact him via phone number (315) 624-8600.

Practice address located

  • 1650 Champlin Ave
  • Utica, New York 13502
  • (315) 624-8600
  • (315) 624-8600

Mailling address located

  • 1650 Champlin Ave
  • Utica, New York 13502
  • (315) 624-8600
  • (315) 624-8685
St Luke's Residential Healthcare Facility Inc is PECOS enrolled.
NPI No 1003904863
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes314000000XSkilled Nursing Facility3227305NNew York
Identifier for this provider
StateIdentifierTypeIssuer
NY81136AMedicare PINn/a
Similar NPIs No