Organization
HUNTINGTON NURSING HOME INC
Active
Other names
Huntington Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA E JOHNSON (TREASURER AND CFO)
(315) 787-4030
Entity
Organization
Contact information
Practice address
369 E MAIN ST, WATERLOO, NY 13165-1654
(315) 787-4150
(315) 787-4794
Mailing address
196 NORTH ST, GENEVA, NY 14456-1651
(315) 787-4150
(315) 787-4794
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01206220
—
NY
01
—
111210CI
PREFERRED CARE GOLD
NY
01
—
160743032BO
GHI PRIMARY
NY
01
—
45
BLUE CROSS
NY
01
—
51069552
GHI SECONDARY
NY
01
—
P015003557
BLUE CHOICE
NY
Enumeration date
01/11/2007
Last updated
11/13/2014
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