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GROTON COMMUNITY HEALTH CARE CENTER INC

Assisted Living Facility

Groton, New York

Provider NPI: 1760437362

Organization Information:
Organization Name:  GROTON COMMUNITY HEALTH CARE CENTER INC


Practice Location:
120 SYKES STREET  GROTON, NY 13073 US
Tel: 607-898-5876  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
NY5401305N

Other Provider Identifiers:

IssuerNumberStateType
00476971NY05
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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