Organization
LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NURMI (BILLING SUPERVISOR)
(716) 665-8028
Entity
Organization
Contact information
Practice address
715 FALCONER ST, JAMESTOWN, NY 14701-1935
(716) 665-4905
(716) 665-8132
Mailing address
715 FALCONER ST, JAMESTOWN, NY 14701-1935
(716) 665-4905
(716) 665-8132
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0602308ZN
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00314618
—
NY
Enumeration date
12/29/2005
Last updated
10/06/2014
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