Loretto Independent Living Services Inc.

NPI #1740624709 in North Syracuse, New York

Provider Information

NPI Number
1740624709
Entity Type
Organization
Organization Name
Loretto Independent Living Services Inc.
Primary Specialty
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date
Apr 22, 2013
Last Updated
Apr 22, 2013

Practice Location

Address
100 MALTA LN
ZIP Code
13212-2375
Phone
(315) 452-5800

Authorized Official

Name
PENNY ABULENCIA
Title
VICE PRESIDENT, PACE OPERATIONS
Phone
(315) 415-4449

Specialties & Taxonomy Codes

Specialty
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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