Provider Demographics
NPI:1508187402
Name:ALLMETRO HEALTHCARE
Entity Type:Organization
Organization Name:ALLMETRO HEALTHCARE
Other - Org Name:ALLMETRO
Other - Org Type:Other Name
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-559-8948
Mailing Address - Street 1:102 HAMDEN DRIVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13208
Mailing Address - Country:US
Mailing Address - Phone:315-559-8948
Mailing Address - Fax:
Practice Address - Street 1:102 HAMDEN DR
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13208-1937
Practice Address - Country:US
Practice Address - Phone:315-559-8948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NURSING FACILITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248666314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility