Organization
PAVILION AT CANAL FULTON, LLC
Active
Other names
The Pavilion at Canal Fulton for Nursing and Rehabilitation, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KYMBERLY LAVIN (EXECUTIVE ASSISTANT)
(516) 865-1500
Entity
Organization
Contact information
Practice address
7055 HIGH MILL AVE NW, CANAL FULTON, OH 44614-9344
(330) 854-4545
Mailing address
1 VALLEY GREENS DR, VALLEY STREAM, NY 11581-3634
(516) 865-1500
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
04/02/2025
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