Organization
HIGHGATE LTC MANAGEMENT LLC
Active
Other names
Northwoods Rehabilitation and ECF at Cortland
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LAWLOR (LHA AS RECEIVER)
(203) 305-2318
Entity
Organization
Contact information
Practice address
28 KELLOGG RD, CORTLAND, NY 13045-3113
(607) 753-9631
Mailing address
28 KELLOGG RD, CORTLAND, NY 13045-3113
(607) 753-9631
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1101308N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00353764
—
NY
01
—
1101308N
OPERATING CERTIFICATE
NY
Enumeration date
09/01/2005
Last updated
10/09/2007
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