NPI Provider: 1891989786
Contact Name: Holicky William
Position: Executive Director
Phone: (315) 235-7781
The House Of The Good Shepherd Information:
The House Of The Good Shepherd organization have npi 1891989786, taxonomy code is 251K00000X with license number is RID1658/VID00A01020 in . This Business address located in 1550 Champlin Ave, Utica, NY 13502 New York.
Practice Location
Address: 1550 Champlin Ave, Utica, NY 13502
Phone: (315) 235-7780
Business Location
Address: 1550 Champlin Ave, Utica, NY 13502
Phone: (315) 235-7780
Fax: (315) 235-7789
Taxonomy
Taxonomy Code: 251K00000X
License Number: RID1658/VID00A01020
License Number of State: NY
Primary Taxonomy Switch: Y
Enumeration Date: 9/4/2007
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