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Alice R. Sullivan, PTA
Nursing Facility/Intermediate Care Facility in Middletown, New York
NPI 1659582377

Alice R. Sullivan is a Nursing Facility/Intermediate Care Facility based in Florida, NY. Alice R. Sullivan practices in Middletown, NY and has the professional credentials of PTA. The NPI Number for Alice R. Sullivan is 1659582377 and holds a License No. 004610-1 (New York).

The current practice location address for Alice R. Sullivan is 121 Dunning Rd, Middletown, NY and can be reached out via phone at 845-343-0801.

Location: 121 Dunning Rd, Middletown, NY, 10921-3015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659582377
Provider Name
Alice R. Sullivan
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
121 Dunning Rd, Middletown, NY, 10921-3015
Phone Number
845-343-0801
Fax Number
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
121 Dunning Rd
City
Middletown
State
New York
Zip
10940-2243
Phone Number
845-343-0801
Fax Number
person
Provider Business Mailing Address Details
Address
121 Dunning Rd
City
Middletown
State
New York
Zip
10940-2243
Phone Number
845-343-0801
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
004610-1 (New York)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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