Organization
CAYUGA RIDGE, LLC
Active
Other names
CAYUGA RIDGE EXTENDED CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA BAKER (ADMINISTRATOR)
(607) 273-0373
Entity
Organization
Contact information
Practice address
1229 TRUMANSBURG ROAD, ITHACA, NY 14850-1313
(607) 273-8072
(607) 273-0373
Mailing address
1229 TRUMANSBURG ROAD, ITHACA, NY 14850-1313
(607) 273-8072
(607) 273-0373
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5401311N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00308181
—
NY
Enumeration date
11/09/2009
Last updated
02/23/2015
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