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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
NY720-S-001

Other Provider Identifiers:

IssuerNumberStateType
01439225NY05
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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