Organization
CCNH INC
Active
Other names
Cortland Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC WALKER (ADMINISTRATOR)
(607) 756-9921
Entity
Organization
Contact information
Practice address
193 CLINTON AVE, CORTLAND, NY 13045-1420
(607) 756-9921
Mailing address
193 CLINTON AVE, CORTLAND, NY 13045-1420
(607) 756-9921
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1101307N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474319
—
NY
01
—
1101307N
OPERATING CERTIFICATE #
NY
Enumeration date
03/06/2007
Last updated
01/09/2008
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