| NPI | 1386632628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN BRIODY PETOCK Administrator/Owner 716-434-6361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 3101300N) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2009-09-09 |