Crystal Run Village, INC
NPI #1386778546 in Middletown, New York
Provider Information
- NPI Number
- 1386778546
- Entity Type
- Organization
- Organization Name
- Crystal Run Village, INC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Mar 26, 2008
Practice Location
- Address
- 601 STONY FORD RD
- City
- Middletown
- State
- New York
- ZIP Code
- 10941-3951
- Phone
- (845) 692-4444
Authorized Official
- Name
- MR. WILLIAM SAMMIS
- Title
- DEPUTY ED OF ADMIN SERVICES
- Phone
- (845) 695-2559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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