| NPI | 1932302882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI L INGERSOLL Administrator 716-483-2876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NY 03A1922) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2025-12-03 |