Organization
RIVER MEADOWS, LLC
Active
Other names
James Square Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM GUTNICKI (MANAGER)
(847) 933-9280
Entity
Organization
Contact information
Practice address
918 JAMES ST, SYRACUSE, NY 13203-2500
(315) 474-1561
Mailing address
4711 GOLF ROAD, 200, SKOKIE, IL 60076
(847) 933-9280
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-5338
MEDICARE ID
—
Enumeration date
06/09/2015
Last updated
06/09/2015
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