Organization
PONTIAC NURSING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA L MOSHIER ASST. ADMINISTRATOR (ASST. ADMINSTRATOR)
(315) 343-1800
Entity
Organization
Contact information
Practice address
303 E RIVER RD, OSWEGO, NY 13126-6400
(315) 343-1900
(315) 343-1821
Mailing address
303 E RIVER RD, OSWEGO, NY 13126-6400
(315) 343-1900
(315) 343-1821
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00308365
—
NY
Enumeration date
10/19/2005
Last updated
08/22/2020
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