| NPI | 1194857292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE SUE DICARLO Director Of Finance 716-434-6324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 3101305N) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: NY 3101305N) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2015-08-10 |