The Pavilion at Vestal, LLC

NPI #1790163376 in Vestal, New York

Provider Information

NPI Number: 1790163376
Entity Type: Organization
Organization Name: The Pavilion at Vestal, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: May 14, 2015
Last Updated: May 14, 2015

Practice Location

Address: 105 WEST SHEEDY ROAD
City: Vestal
State: New York
ZIP Code: 13850-1753
Phone: (845) 371-8100

Authorized Official

Name: MR. JACK AUGENSTEIN
Title: CFO
Phone: (845) 371-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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