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MOHAWK VALLEY NURSING HOME

Adult Care Home

Ilion, New York

Provider NPI: 1194894022

Organization Information:
Organization Name:  MOHAWK VALLEY NURSING HOME


Practice Location:
99 6TH AVE  ILION, NY 13357 US
Tel: 315-895-4050  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility

Other Provider Identifiers:

IssuerNumberStateType
00473941NY05
01167977NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS NY - Page 1

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