- Enrollment id
- O20070522000533
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1417903816
- Multiple npi flag
- N
- Ccn
- 335839
- Associate id
- 3678535259
- Organization name
- OAKWOOD OPERATING CO, LLC
- Doing business as name
- AFFINITY SKILLED LIVING & REHABILITATION CENTER
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- AFFINITY SKILLED LIVING AND REHABILITATION CENTER
- Affiliation entity name
- THE MAYER FAMILY
- Affiliation entity id
- 780
- Address line 1
- 305 LOCUST AVE
- City
- OAKDALE
- State
- NY
- Zip code
- 117691652