Organization
COUNTY OF WAYNE
Active
Other names
Wayne County Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY STALKER (ADMINISTRATOR)
(315) 946-5673
Entity
Organization
Contact information
Practice address
1529 NYE RD, LYONS, NY 14489-9111
(315) 946-5673
(315) 946-5671
Mailing address
1529 NYE RD, LYONS, NY 14489-9111
(315) 946-5673
(315) 946-5671
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5823302N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00378730
—
NY
Enumeration date
11/14/2006
Last updated
03/06/2026
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