Organization
IDEAL SENIOR LIVING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN BARBIERI (DIRECTOR OF FINANCE)
(607) 786-7307
Entity
Organization
Contact information
Practice address
601 HIGH AVE, ENDICOTT, NY 13760-4720
(607) 786-7300
(607) 786-7417
Mailing address
508 HIGH AVE, ENDICOTT, NY 13760-4719
(607) 786-7302
(607) 786-7417
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0302302N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01195995
—
NY
Enumeration date
03/08/2006
Last updated
09/29/2023
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