Organization Name: | GROTON COMMUNITY HEALTH CARE CENTER INC |
NPI Number: | 1760437362 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFERY EARLE (PRESIDENT CEO) |
Mailing Address: | 120 Sykes Street Groton |
State: | NY US |
Postal Code: | 13073 |
Phone Number: | 6078985876 |
Fax Number: | 6078983034 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 5401305N |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |