| NPI | 1679734560 |
|---|---|
| Doing Business As | IAHD-RYER AVE ICF |
| Entity Type | Organization |
| Authorized Contact | MARY K ST MARK Director Of Billing Department 717-920-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: NY 6145474) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |