Organization
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE A DYGERT (DIRECTOR OF FINANCE)
(518) 568-5037
Entity
Organization
Contact information
Practice address
7 TIMMERMAN AVE, ST JOHNSVILLE, NY 13452-1017
(518) 568-5037
(518) 568-5477
Mailing address
7 TIMMERMAN AVE, ST JOHNSVILLE, NY 13452-1017
(518) 568-5037
(518) 568-5477
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2828300N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131093
—
NY
Enumeration date
07/06/2005
Last updated
05/04/2015
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