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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
99 6TH AVE ILION, NY 13357 US
Tel: 315-895-4050 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | ||
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
00473941 | NY | 05 | |
01167977 | NY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin