| NPI | 1114924438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL DRADER Controller 585-442-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 2750306n) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2012-01-18 |