Organization · Type 2 NPI

1019 Wicker Street Operating Company, LLC

Skilled Nursing Facility · Ticonderoga, NY

NPI number 1871035485 Active

Practice location

1019 Wicker St
Ticonderoga, NY 12883-1039

Call (518) 585-2831 Map

Mailing address

500 Seneca St Ste 100
Buffalo, NY 14204-1963

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (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 r…

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About NPI 1871035485

1019 Wicker Street Operating Company, LLC's National Provider Identifier is 1871035485, issued on Nov 14, 2016. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Ticonderoga, NY. The record was last updated on Jan 19, 2023.