Organization
GOOD SHEPHERD VILLAGE AT ENDWELL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ULYSSES SAM ARNOLD (CFO)
(607) 584-3227
Entity
Organization
Contact information
Practice address
32 VILLAGE DRIVE, ENDWELL, NY 13760-1062
(607) 757-3100
(607) 757-3101
Mailing address
80 FAIRVIEW AVENU, BINGHAMTON, NY 13904-1132
(607) 724-2477
(607) 724-0957
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0363301N
NY
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03247849
—
NY
Enumeration date
02/12/2010
Last updated
09/14/2023
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