Organization
ELDERWOOD HEALTH CARE AT TIOGA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE GALE (DIRECTOR OF ACCOUNTS RECEIVABLE)
(716) 250-1150
Entity
Organization
Contact information
Practice address
37 N CHEMUNG ST, WAVERLY, NY 14892-1211
(607) 565-6329
(607) 565-6314
Mailing address
37 N CHEMUNG ST, WAVERLY, NY 14892-1211
(607) 565-6329
(607) 565-6314
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00362689
—
NY
Enumeration date
10/30/2007
Last updated
03/12/2008
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