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General NPI Number Information
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NPI Number | 1528061850
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Entity Type | Organization
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Legal Business Name | KINGSWAY ARMS NURSING CENTER, INC.
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 323 KINGS ROAD
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City | SCHENECTADY
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State | NY
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Zip | 12304-3699
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Country | US
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Telephone | 518-393-4117
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Fax | 518-393-4127
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Provider Business Mailing Address
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Address Line | 323 KINGS ROAD
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City | SCHENECTADY
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State | NY
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Zip | 12304-3699
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Country | US
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Telephone | 518-393-4117
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Fax | 518-393-4127
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MICHAEL CONNOR MCPARTLON
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Credential |
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Telephone | 518-393-4117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 4601305N
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License Number State | NY
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