| NPI | 1245784271 |
|---|---|
| Doing Business As | ELDERWOOD OF LAKESIDE AT BROCKPORT |
| Entity Type | Organization |
| Authorized Contact | JEFFREY RUBIN Co Chief Executive Officer 716-817-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2023-01-19 |