Organization
WOODLAND VILLAGE LLC
Active
Other names
Fawn Ridge Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL ZELMAN (COO)
(845) 357-7387
Entity
Organization
Contact information
Practice address
2902 TIBBITS AVE, TROY, NY 12180-7077
(518) 273-2040
Mailing address
2902 TIBBITS AVE, TROY, NY 12180-7077
(518) 273-2040
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
600-F-248
NY
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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