1019 WICKER STREET OPERATING COMPANY, LLC

NPI: 1871035485 · Organization · Active

Primary Specialty

Skilled Nursing Facility

Practice Location

1019 WICKER ST
TICONDEROGA, NY 12883-1039 Map ↗
Phone: 518-585-2831

All Specialties & Licenses

  • Skilled Nursing Facility Primary

NPI Registration

Enumerated: 2016-11-14

Last CMS Update: 2023-01-19