Healthcare Provider Details

I. General information

NPI: 1588445332
Provider Name (Legal Business Name): REHABILITATION SUPPORT SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 OVERBAUGH ST
SAUGERTIES NY
12477-1920
US

IV. Provider business mailing address

5172 WESTERN TPKE
ALTAMONT NY
12009-3810
US

V. Phone/Fax

Practice location:
  • Phone: 845-246-2645
  • Fax:
Mailing address:
  • Phone: 518-527-8466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: LENA M TAFFURI
Title or Position: DIRECTOR SERVICE DEVELOPMENT
Credential:
Phone: 518-527-8466