Organization
SENECALAKE TERRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE A DEC (OFFICE MGR)
(315) 672-3790
Entity
Organization
Contact information
Practice address
3670 COUNTY ROAD 6, GENEVA, NY 14456-9138
(315) 789-4162
Mailing address
3670 COUNTY ROAD 6, GENEVA, NY 14456-9138
(315) 789-4162
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
530-F-053
NY
310400000X
Assisted Living Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01959420
—
NY
Enumeration date
07/03/2007
Last updated
07/13/2007
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