Organization
GAN KAVOD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A HAYS NHA (ADMINISTRATOR)
(315) 797-3114
Entity
Organization
Contact information
Practice address
2050 TILDEN AVE, NEW HARTFORD, NY 13413-3613
(315) 797-3114
(315) 797-6955
Mailing address
2050 TILDEN AVE., PO BOX 1000, NEW HARTFORD, NY 13413
(315) 797-3114
(315) 797-6955
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
06/21/2005
Last updated
07/21/2022
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