33D2126428 CLIA NUMBER - PRESBYTERIAN RESIDENTIAL COMMUNITY

Laboratory Demographics

CLIA Number: 33D2126428

Facility Name: PRESBYTERIAN RESIDENTIAL COMMUNITY

Facility Address:
4300 MIDDLE SETTLEMENT ROAD
NEW HARTFORD, NY
ZIP 13413
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Facility Phone Number: 315 724-9300

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1215033071

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name Field Value
CLIA Number 33D2126428
LAB Type Assisted Living Facility
Facility Name PRESBYTERIAN RESIDENTIAL COMMUNITY
Street 4300 MIDDLE SETTLEMENT ROAD
City NEW HARTFORD
State NY
ZIP 13413
Phone 315 724-9300
CertificateType 4
CertificateEffectiveDate 2/27/2017
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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This page was last updated on: 4/23/2024