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Organization

ESSEX COUNTY TREASURER

Active
Other names
Horace Nye Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEBORAH LB GIFFORD (ADMINISTRATOR)
(518) 873-3582
Entity
Organization

Contact information

Practice address
81 PARK ST, ELIZABETHTOWN, NY 12932
(518) 873-3570
(518) 873-6764
Mailing address
PO BOX 127, ELIZABETHTOWN, NY 12932-0127
(518) 873-3582
(518) 873-6764

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
152 1300N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00319851
NY
01
152 1300 N
OPERATING CERTIFICATE
NY
Enumeration date
09/27/2005
Last updated
09/13/2010
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