Provider Demographics
NPI:1598839300
Name:SCHUYLER COUNTY CHAPTER, NYSARC, INC.
Entity Type:Organization
Organization Name:SCHUYLER COUNTY CHAPTER, NYSARC, INC.
Other - Org Name:THE ARC OF SCHUYLER COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-535-6934
Mailing Address - Street 1:203 12TH STREET
Mailing Address - Street 2:
Mailing Address - City:WATKINS GLEN
Mailing Address - State:NY
Mailing Address - Zip Code:14891
Mailing Address - Country:US
Mailing Address - Phone:607-535-6934
Mailing Address - Fax:607-535-2666
Practice Address - Street 1:203 12TH STREET
Practice Address - Street 2:
Practice Address - City:WATKINS GLEN
Practice Address - State:NY
Practice Address - Zip Code:14891
Practice Address - Country:US
Practice Address - Phone:607-535-6934
Practice Address - Fax:607-535-2666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7096441310500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00798045Medicaid