Organization
TIOGA NURSING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MCCORT (DIRECTOR OF RESIDENT ACCOUNTS)
(607) 565-6332
Entity
Organization
Contact information
Practice address
37 N CHEMUNG ST, WAVERLY, NY 14892-1211
(607) 565-2861
Mailing address
37 N CHEMUNG ST, WAVERLY, NY 14892-1211
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01008020
—
NY
Enumeration date
02/01/2007
Last updated
08/22/2020
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