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Painted Post, LLC

Assisted Living Facility in Fayetteville, NY. Organization (NPI-2).

NPI number1285962829
StatusActive
Last updated in NPPESNov 19, 2009

Details

NPI
1285962829
Entity type
Organization (NPI-2)
Legal business name
Painted Post, LLC
Organization subpart
No
Enumeration date
Nov 19, 2009
Last updated
Nov 19, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility520-F-151NYYes

Other names

  • East Side Manor (Doing Business As)

Practice location

7164 E Genesee St
Fayetteville, NY 13066-1202

Phone 315-637-5127 · Fax 315-637-1429

Mailing address

3131 Elliott Ave
Suite 500
Seattle, WA 98121-1044

Phone 206-298-2909 · Fax 206-301-4500

Authorized official

Noelle Diaz Bickel
Licensing Specialist
2062982909

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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