Grand Mohawk Valley LLC
Skilled Nursing Facility in Ilion, NY. Organization (NPI-2).
NPI number1033697883
StatusActive
Last updated in NPPESAug 28, 2026
Details
- NPI
- 1033697883
- Entity type
- Organization (NPI-2)
- Legal business name
- Grand Mohawk Valley LLC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2018
- Certification date
- Aug 28, 2026
- Last updated
- Aug 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- The Grand Rehabilitation And Nursing At Mohawk (Doing Business As)
Practice location
99 6th AveIlion, NY 13357-1527
Phone 718-215-6000
Mailing address
99 6th AveIlion, NY 13357-1527
Phone 315-895-4050
Authorized official
Jeremy B Strauss
Ceo
7182156000
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