33D2128285 CLIA NUMBER - VALLEY RESIDENTIAL SERVICES INC

Laboratory Demographics

CLIA Number: 33D2128285

Facility Name: VALLEY RESIDENTIAL SERVICES INC

Facility Address:
161 VALLEY DRIVE
HERKIMER, NY
ZIP 13350
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Facility Phone Number: 315 219-5700

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1104235811

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	33D2128285
LAB Type	Assisted Living Facility
Facility Name	VALLEY RESIDENTIAL SERVICES INC
Street	161 VALLEY DRIVE
City	HERKIMER
State	NY
ZIP	13350
Phone	315 219-5700
CertificateType	4
CertificateEffectiveDate	3/28/2017
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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