| NPI | 1104916022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY RIEXINGER Resident Accounts Representative 716-278-4583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 3102307N) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |