| NPI | 1285615682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH ROSSO CFO 716-829-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 0303307N) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2024-09-26 |