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NPI Code Detail

MEDICARE: IROQUOIS NURSING HOME INC

MEDICARE: IROQUOIS NURSING HOME INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility3353300NNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013926526
Entity Type Code : Organization
Provider Name (Legal Business Name) : IROQUOIS NURSING HOME INC
Provider Business Mailing Address
First Line : 4600 SOUTHWOOD HEIGHTS DR
Second Line :
City : JAMESVILLE
State : NY
Zip : 13078-9595
Country : US
Telephone Number : 315-469-1300
Fax Number : 315-469-5545
Provider Business Practice Location Address
First Line : 4600 SOUTHWOOD HEIGHTS DR
Second Line :
City : JAMESVILLE
State : NY
Zip : 13078-9595
Country : US
Telephone Number : 315-469-1300
Fax Number : 315-469-5545
Authorized Official
Title or Position : PRESIDENT
Name : MAGGIE CALLI
Credential :
Telephone Number : 315-469-1300
Provider Enumeration Date : 08/05/2006
Last Update Date : 05/20/2022

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Directions to “IROQUOIS NURSING HOME INC ” Practice Location

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