Organization
BETSY ROSS REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE LOUISE BRODOCK (DIRECTOR OF FISCAL SERVICES)
(315) 339-2220
Entity
Organization
Contact information
Practice address
1 ELSIE ST, ROME, NY 13440-2556
(315) 339-2220
(315) 709-0017
Mailing address
1 ELSIE ST, ROME, NY 13440-2556
(315) 339-2220
(315) 709-0017
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3201307N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00353131
—
NY
01
—
3201307N
OPERATOR CERTIFICATE NUMB
NY
Enumeration date
11/16/2006
Last updated
08/25/2015
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