| NPI | 1215621586 |
|---|---|
| Doing Business As | UPSTATE PCA INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | SHANNON GREEN Md 315-864-0416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2024-12-14 |