IDEAL SENIOR LIVING CTR LTHHCP

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

337215

Ownership Type:

Voluntary Non Profit - Private

Date Certified:

12-31-1985

Address:

508 HIGH AVENUE

City, State, Zip:

ENDICOTT , NY 13760

County:

BROOME

Country:

Phone:

6077867400

Fax:

General Email:

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