Organization
EVERGREEN VALLEY NURSING HOME
Active
Other names
HASSETT ADULT DAY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE BYNO (ADMINISTRATOR)
(518) 563-3261
Entity
Organization
Contact information
Practice address
8 BUSHEY BLVD, PLATTSBURGH, NY 12901-3761
(518) 563-3261
(518) 562-1367
Mailing address
8 BUSHEY BLVD, PLATTSBURGH, NY 12901-3761
(518) 563-3261
(518) 562-1367
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0901301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02329757
—
NY
Enumeration date
10/05/2006
Last updated
08/22/2020
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