TIOGA HEALTHCARE FACILITY
Assisted Living Facility
Waverly, New York
Provider NPI: 1265439186
Organization Information:Organization Name: TIOGA HEALTHCARE FACILITY
Practice Location:
44 BALL ST WAVERLY, NY 14892 US
Tel: 607-565-6216 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:
44 BALL ST WAVERLY, NY 14892 US
Tel: 607-565-6216 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NY | 720-S-001 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
01439225 | NY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin