NPI 1003904863

St Luke's Home Residential Healthcare Facility INC

Organisation Skilled Nursing Facility Utica, NY

Practice location

Address: 1650 Champlin Ave, Utica, NY 13502
Phone: (315) 624-8600
Mailing address: 2209 Genesee St Ofc Room315, Utica, NY 13501-5930

Authorised official

Name: Cody White
Title: Executive Director
Phone: (315) 801-4429

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 3227305N (NY)

Other Skilled Nursing Facility providers in New York →

Registry record

NPI: 1003904863
Entity type: Organization
NPI issued: 10 Oct 2006
Record last updated: 27 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.