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Organization
GAN KAVOD, INC
Active
Organization
GAN KAVOD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A HAYS ADMINISTRATOR (ADMINISTRATOR OF COMMUNITY SERVICES)
(315) 797-3114
Entity
Organization
Contact information
Practice address
2050 TILDEN AVE, BOX 1000, NEW HARTFORD, NY 13413-3613
(315) 797-3114
(315) 624-0474
Mailing address
2050 TILDEN AVE, BOX 1000, NEW HARTFORD, NY 13413-3613
(315) 797-3114
(315) 624-0474
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01224506
—
NY
05
—
01224515
—
NY
Enumeration date
04/25/2008
Last updated
07/21/2022
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