Organization
BLOSSOM NORTH, LLC
Active
Other names
Blossom North Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD J WOOD (OPERATOR)
(516) 679-1500
Entity
Organization
Contact information
Practice address
1335 PORTLAND AVE, ROCHESTER, NY 14621-2706
(585) 544-4000
(585) 544-4440
Mailing address
1335 PORTLAND AVE, ROCHESTER, NY 14621-2706
(585) 544-4000
(585) 544-4440
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2701356N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355555
—
NY
01
—
182720CI
PREFERRED CARE
NY
Enumeration date
12/18/2006
Last updated
09/13/2011
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