NPI | 1093701260 |
---|---|
Doing Business As | DBA CANTERBURY WOODS |
Entity Type | Organization |
Authorized Contact | ROBERT C. WALLACE President/CEO 716-929-5801 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 1421305N) |
Enumeration Date | 2005-09-23 |
Last Update Date | 2012-01-31 |