Organization
FORT HUDSON NURSING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW A. CRUIKSHANK RN, LNHA (CEO/ADMINISTRATOR)
(518) 747-2811
Entity
Organization
Contact information
Practice address
319 BROADWAY, FORT EDWARD, NY 12828-1221
(518) 747-2811
(518) 747-2740
Mailing address
319 BROADWAY, FORT EDWARD, NY 12828-1221
(518) 747-2811
(518) 747-2740
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5724302N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00313557
—
NY
05
—
01380249
—
NY
01
—
5724302N
OPERATING CERTIFICATE
NY
Enumeration date
10/27/2005
Last updated
03/11/2008
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