| NPI | 1871035485 |
|---|---|
| Doing Business As | ELDERWOOD AT TICONDEROGA |
| Entity Type | Organization |
| Authorized Contact | JEFFREY RUBIN Co Chief Executive Officer 716-817-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2023-01-19 |