Organization
MICHAUD RESIDENTIAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE GORMAN (C.E.O.)
(315) 342-3166
Entity
Organization
Contact information
Practice address
453 PARK ST, FULTON, NY 13069-2523
(315) 592-2723
(315) 592-2942
Mailing address
299 E RIVER RD, OSWEGO, NY 13126-6400
(315) 342-3166
(315) 343-6531
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474497
—
NY
Enumeration date
09/02/2006
Last updated
02/04/2015
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