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1019 Wicker Street Operating Company, Llc
Skilled Nursing Facility in Ticonderoga, New York
NPI 1871035485

1019 Wicker Street Operating Company, Llc is a Skilled Nursing Facility based in Buffalo, NY. 1019 Wicker Street Operating Company, Llc practices in Ticonderoga, NY. The NPI Number for 1019 Wicker Street Operating Company, Llc is 1871035485 and holds a License No. (New York).

The current practice location address for 1019 Wicker Street Operating Company, Llc is 1019 Wicker St, Ticonderoga, NY and can be reached out via phone at 518-585-2831.

Location: 1019 Wicker St, Ticonderoga, NY, 14204-1963
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871035485
Provider Name
1019 Wicker Street Operating Company, Llc
Credential
Provider Entity Type
Organization
Address
1019 Wicker St, Ticonderoga, NY, 14204-1963
Phone Number
518-585-2831
Fax Number
Provider Enumeration Date
11/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1019 Wicker St
City
Ticonderoga
State
New York
Zip
12883-1039
Phone Number
518-585-2831
Fax Number
person
Provider Business Mailing Address Details
Address
1019 Wicker St
City
Ticonderoga
State
New York
Zip
12883-1039
Phone Number
518-585-2831
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
()
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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