Organization
GOOD SHEPHERD FAIRVIEW HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ULYSSES SAM ARNOLD (CFO)
(607) 724-2477
Entity
Organization
Contact information
Practice address
80 FAIRVIEW AVE, BINGHAMTON, NY 13904-1132
(607) 724-2477
(607) 724-0957
Mailing address
80 FAIRVIEW AVE, BINGHAMTON, NY 13904-1132
(607) 724-2477
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
030E005
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474699
—
NY
Enumeration date
10/22/2008
Last updated
09/14/2023
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