Mens Supportive Living
Name
Mens Supportive Living
Director
Victor G LaRegina, M.D.
Expiration Date
Phone Number
(518) 237-9891
UID (Facility ID - Site ID)
E645-0002
Site ID
0002
City
Troy
CLIA Number
33D2243411
Street Address
559-565 Sixth Ave
State
NY
Zip Code
12182
County
Rensselaer
Country
United States
Fax Number
(518) 237-9409
Primary Contact
John Daley
Contact Phone Number
51823798913338
Certificate Type
WAIVER
Tests
COVID-19 ANTIGEN
Breath Alcohol
Drugs of Abuse
Facility ID
E645