Bonnie

Organization Active NPI Skilled Nursing Facility · Perry, NY

NPI 1871850107 · NPPES record last updated Apr 11, 2012

Key facts

NPI
1871850107
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
142765-1 (NY)
Legal business name
BONNIE
Practice address
122 Main St N
Perry, NY 14530-1217
Phone
(585) 969-2966
NPI assigned
Apr 11, 2012
Organization subpart
No

Authorized official

Name
Ms. Bonnie Lee Fisher-Loverde, NURSE
Title
LPN
Phone
(585) 969-2965

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 142765-1 NY
Alzheimer Center (Dementia Center) 311500000X 142765-1 NY
Adult Care Home Facility 311ZA0620X 142765-1 NY
Skilled Nursing Facility 314000000X 142765-1 NY Yes
Inpatient Hospice 315D00000X 142765 NY

Addresses

Primary practice location

122 Main St N
Perry, NY 14530-1217

Mailing address

122 Main St N
Perry, NY 14530-1217
Phone (585) 969-2966

Other providers in Perry, NY

All providers in Perry, NY · Skilled Nursing Facility in New York

Sources for this page

Verify at the official NPI Registry.