Provider Demographics
NPI:1467513655
Name:GENESEE COUNTY NURSING HOME
Entity Type:Organization
Organization Name:GENESEE COUNTY NURSING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CANALE
Authorized Official - Suffix:
Authorized Official - Credentials:DON
Authorized Official - Phone:585-344-0584
Mailing Address - Street 1:278 BANK ST
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-1616
Mailing Address - Country:US
Mailing Address - Phone:585-344-0584
Mailing Address - Fax:585-344-4685
Practice Address - Street 1:278 BANK ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1616
Practice Address - Country:US
Practice Address - Phone:585-344-0584
Practice Address - Fax:585-344-4685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY290N004311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home