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Crystal Run Village Inc
Intellectual Disabilities Intermediate Care Facility in Middletown, New York
NPI 1619149077

Crystal Run Village Inc is a Intellectual Disabilities Intermediate Care Facility based in Middletown, NY. Crystal Run Village Inc practices in Middletown, NY. The NPI Number for Crystal Run Village Inc is 1619149077 and holds a License No. (New York).

The current practice location address for Crystal Run Village Inc is 601 Stony Ford Rd, Middletown, NY and can be reached out via phone at 845-692-4444 and via fax at 845-695-1101.

Location: 601 Stony Ford Rd, Middletown, NY, 10941-3951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619149077
Provider Name
Crystal Run Village Inc
Credential
Provider Entity Type
Organization
Address
601 Stony Ford Rd, Middletown, NY, 10941-3951
Phone Number
845-692-4444
Fax Number
845-695-1101
Provider Enumeration Date
03/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
601 Stony Ford Rd
City
Middletown
State
New York
Zip
10941-3951
Phone Number
845-692-4444
Fax Number
845-695-1101
person
Provider Business Mailing Address Details
Address
601 Stony Ford Rd
City
Middletown
State
New York
Zip
10941-3951
Phone Number
845-692-4444
Fax Number
845-695-1101
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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