| NPI | 1871850107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE LEE FISHER-LOVERDE Lpn 585-969-2965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 142765-1) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NY 142765-1) |
| 311500000X Alzheimer Center (Dementia Center) (Licence: NY 142765-1) | |
| 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NY 142765-1) | |
| 315D00000X Hospice, Inpatient (Licence: NY 142765) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |