| NPI | 1487697058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A BAGAROZZI Long Term Care Manager 716-859-8397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-07-21 |