Mountain Lake Children'S Residence, Inc.

LBN: Mountain Lake Children'S Residence, Inc.
Mountain Lake Children'S Residence, Inc. is an health care organization with primary practice located at 386 River Road , Lake Placid NY 12946. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Mountain Lake Children'S Residence, Inc. can be contacted via phone (518) 523-4300, or through Prevost, Carol M via phone (518) 523-4300.

Contact Information

Primary practice address
386 River Road Lake Placid NY 12946
Fax: (518) 523-5322
Website:
Authorized official contact:
Name: Prevost, Carol M

Health care specialties

Profile Details

NPI number 1255507497
LBN Legal business name Mountain Lake Children'S Residence, Inc.
DBA Doing business as
Authorized official Prevost, Carol M
Entity Organization
Organization subpart 1 Yes
Enumeration date May 7th, 2008
Last updated Apr 8th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255507497 NPPES
New York MEDICAID 01949242

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