| NPI | 1205047370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DANIEL ALMETER Com PT Roller 716-828-9751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY RID1515VID00A00114) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY RID1514VID00A00113B) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY RID2794VID00A97001) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |