Organization
ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAL G PAYNE (ADMINISTRATOR)
(518) 251-4712
Entity
Organization
Contact information
Practice address
112 SKI BOWL RD, NORTH CREEK, NY 12853
(518) 251-2447
(518) 251-4207
Mailing address
112 SKI BOWL ROAD, NORTH CREEK, NY 12853
(518) 251-2447
(518) 251-4207
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5655302N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00308943
—
NY
05
—
5655302N
—
NY
Enumeration date
09/30/2005
Last updated
06/16/2015
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