Organization
ONTARIO COUNTY HEALTH FACILITY
Active
Other names
Ontario County Skilled Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY POWERS (ADMINISTRATOR)
(585) 396-4320
Entity
Organization
Contact information
Practice address
3062 COUNTY COMPLEX DR, CANANDAIGUA, NY 14424-9502
(585) 396-4320
(585) 396-4414
Mailing address
3062 COUNTY COMPLEX DR, CANANDAIGUA, NY 14424-9502
(585) 396-4320
(585) 396-4414
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3429302N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00303095
—
NY
01
—
103365CI
PREFERRED CARE
NY
01
—
P0150037BT
EXCELLUS
NY
Enumeration date
07/07/2005
Last updated
08/22/2020
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