Villa Mary Immaculate
NPI #1144215625 in Albany, New York
Provider Information
- NPI Number
- 1144215625
- Entity Type
- Organization
- Organization Name
- Villa Mary Immaculate
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 12, 2005
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. GLEN COOPER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (518) 525-7670
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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