OrganizationActive
Crystal Run Village Inc
NPI 1619149077 · Intellectual Disabilities Intermediate Care Facility · Middletown, NY
Provider details
- NPI number
- 1619149077
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- William Sammis, Deputy Director of Admin Services(845) 695-2559
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
601 Stony Ford Rd
Middletown, NY 10941-3951
Phone: (845) 692-4444
Fax: (845) 695-1101
Approximate (ZIP-level) locationGet directions
Mailing address
601 Stony Ford Rd
Middletown, NY 10941-3951
Registry dates
- Enumerated
- 2008-03-26
- Last updated
- 2008-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.