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Organization

JSSG HEALTHCARE LLC.

Active
Other names
Fiddlers Green Manor
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY GOLDSTEIN (MANAGING MEMBER)
(516) 621-5400
Entity
Organization

Contact information

Practice address
168 W MAIN ST, SPRINGVILLE, NY 14141-1016
(716) 592-4781
Mailing address
168 W MAIN ST, SPRINGVILLE, NY 14141-1016
(716) 592-4781

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1427303N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00475214
NY
Enumeration date
02/12/2014
Last updated
12/17/2014
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