Organization
BETHANY NURSING HOME AND HEALTH RELATED FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM SANTOBIANCO (CHIEF EXECUTIVE OFFICER)
(607) 739-8711
Entity
Organization
Contact information
Practice address
3005 WATKINS RD, HORSEHEADS, NY 14845-1800
(607) 739-8711
(607) 796-2566
Mailing address
3005 WATKINS RD, HORSEHEADS, NY 14845-1800
(607) 739-8711
(607) 796-2566
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0722301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00594505
—
NY
Enumeration date
07/10/2006
Last updated
03/03/2015
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