Organization
WELLS NURSING HOME INC.
Active
Parent organization
WELLS NURSING HOME INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLS NURSING HOME INC.
Authorized official
MICHELE A DYGERT (CFO)
(518) 762-4546
Entity
Organization
Contact information
Practice address
201 W MADISON AVE, JOHNSTOWN, NY 12095-2806
(518) 762-4546
(518) 736-1507
Mailing address
201 W MADISON AVE, JOHNSTOWN, NY 12095-2806
(518) 762-4546
(518) 736-1507
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1702300N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401871001
BLUESHIELD OF NENY
NY
05
—
00394849
—
NY
01
—
007964
EMPIRE BLUECROSS
NY
01
—
43015
MVP
NY
01
—
V500P-5020
VA
NY
Enumeration date
01/19/2007
Last updated
01/02/2020
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