National Provider Identifier Database

CRYSTAL RUN VILLAGE INC
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

CRYSTAL RUN VILLAGE INC
601 STONY FORD RD
MIDDLETOWN, NY10941-3951
Phone: 845-692-4444
Fax: 845-692-1101
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for CRYSTAL RUN VILLAGE INC

NPI Number 1619149069
Legal business name
LBN
CRYSTAL RUN VILLAGE INC
Authorized official WILLIAM SAMMIS - (DEPUTY ED OF ADMIN SERVICES)
Entity Organization
Organization subpart No
Enumeration date 03/26/2008
Last updated 03/26/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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