Organization
VJNH, INC.
Active
Other names
Vestal Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE JOHNSON (ADMINISTRATOR)
(607) 754-4105
Entity
Organization
Contact information
Practice address
860 VESTAL RD, VESTAL, NY 13850-1753
(607) 754-4105
Mailing address
860 VESTAL RD, VESTAL, NY 13850-1753
(607) 754-4105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0336301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474704
—
NY
01
—
0336301N
OTHER
NY
Enumeration date
03/06/2007
Last updated
01/08/2008
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