Healthcare Provider Details

I. General information

NPI: 1750442935
Provider Name (Legal Business Name): GENESEE COUNTY NURSING HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

278 BANK ST
BATAVIA NY
14020-1616
US

IV. Provider business mailing address

278 BANK ST
BATAVIA NY
14020-1616
US

V. Phone/Fax

Practice location:
  • Phone: 585-344-0584
  • Fax: 585-344-4685
Mailing address:
  • Phone: 585-344-0584
  • Fax: 585-344-4685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DAWN M CANALE
Title or Position: DIRECTOR OF NURSING
Credential: D.O.N.
Phone: 585-344-0584