Organization
CEDARWOOD HOMER COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YEDE WEISS (MANAGING MEMBER)
(607) 213-3705
Entity
Organization
Contact information
Practice address
46 CORTLAND ST, HOMER, NY 13077-1506
(607) 213-3705
Mailing address
46 CORTLAND ST, HOMER, NY 13077-1506
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210-F-032
NYS DOH
NY
Enumeration date
12/18/2020
Last updated
12/18/2020
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