Organization
KINGSWAY MANOR LLC
Active
Organization
KINGSWAY MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MC PARTLON (VICE PRESIDENT)
(518) 393-4117
Entity
Organization
Contact information
Practice address
357 KINGS RD, SCHENECTADY, NY 12304-3645
(518) 393-4304
(519) 393-0749
Mailing address
357 KINGS RD, SCHENECTADY, NY 12304-3645
(518) 393-4304
(519) 393-0749
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
650-F-103
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650-F-103
OPERATING CERTIFICATE
NY
Enumeration date
07/01/2008
Last updated
07/01/2008
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