Park Ridge Living Center

NPI 1023166378 - Clinic/Center - 261QA0600X

NPI Details
NPI 1023166378
Enumeration Date 01/05/2007
Last Updated 01/14/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN SUSAN
Position VP HOME AND COMMUNITY BASED SERVICE
Phone (585) 254-8139
Fax
Practice Location
2260 LAKE AVE
ROCHESTER NY, 14612-5758, US
Phone (585) 254-8139
Fax
Business Location
2260 LAKE AVE
ROCHESTER NY, 14612-5758, US
Phone (585) 254-8139
Fax
Toxanomy
Taxonomy Code 261QA0600X
License State
License Number
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According to our database, Park Ridge Living Center NPI is 1023166378, taxonomy code is 261QA0600X Park Ridge Living Center physically located at 2260 Lake Ave, Rochester NY, 14612-5758. NPI Number 1033115704 has the healthcare provider type.

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1023166378 NPI number is provided on an as is basis without warranty of any kind. 1023166378 is maintained by the National Plan & Provider Enumeration System. The contents of Park Ridge Living Center are for informational purposes only.