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PINEVIEW COMMONS, LLC

Adult Care Home

Johnstown, New York

Provider NPI: 1457438863

Organization Information:
Organization Name:  PINEVIEW COMMONS, LLC


Practice Location:
201 S MELCHER ST  JOHNSTOWN, NY 12095 US
Tel: 518-762-5488  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NY280-F-034

Other Provider Identifiers:

IssuerNumberStateType
02205012NY05
01726998NY05
02066773NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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