Organization
EAST SIDE NURSING HOME, INC.
Active
Other names
East Side Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD P. COLLER (ADMINISTRATOR)
(585) 786-8151
Entity
Organization
Contact information
Practice address
62 PROSPECT ST, WARSAW, NY 14569-1533
(585) 786-8151
(585) 786-8390
Mailing address
62 PROSPECT ST, WARSAW, NY 14569-1533
(585) 786-8151
(585) 786-8390
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6027303N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356083
—
NY
Enumeration date
07/13/2005
Last updated
08/22/2020
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