# FCADH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Pavilion at Claxton Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396173142
- **Authorized official:** MR. EFRAIM STEIF (MEMBER)
- **Authorized official phone:** (845) 371-8100

## Contact information

- **Practice address:** 104 N WASHINGTON ST, HERKIMER, NY 13350-2028
- **Practice address phone:** (315) 866-6964
- **Practice address fax:** (315) 866-6760
- **Mailing address:** 1 HILLCREST CTR, SUITE \#225, SPRING VALLEY, NY 10977-3740
- **Mailing address phone:** (845) 371-8100
- **Mailing address fax:** (845) 371-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 2124300N | NY | Yes |

## Other

- **Enumeration date:** 10/14/2013
- **Last updated:** 10/14/2013