Organization
GOOD SHEPHERD-FAIRVIEW HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LINUS TIGUE (CFO)
(604) 724-2477
Entity
Organization
Contact information
Practice address
80 FAIRVIEW AVE, BINGHAMTON, NY 13904-1199
(607) 724-2477
(607) 724-0957
Mailing address
80 FAIRVIEW AVE, BINGHAMTON, NY 13904-1199
(607) 724-2477
(607) 724-0957
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0301305N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474699
—
NY
Enumeration date
09/14/2005
Last updated
10/26/2011
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