# CATHOLIC HEALTH SYSTEM PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY,

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CATHOLOC HEALTH SYSTEM, INC.
- **Other names:** Catholic Health LIFE - Living Independently For Elders
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124268305
- **Legal business name:** CATHOLOC HEALTH SYSTEM, INC.
- **Authorized official:** CHRISTINE J. KLUCKHOHN (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (716) 604-1842

## Contact information

- **Practice address:** 55 MELROY AVE, LACKAWANNA, NY 14218-1658
- **Practice address phone:** (716) 819-5101
- **Practice address fax:** (716) 819-5099
- **Mailing address:** 55 MELROY AVE, LACKAWANNA, NY 14218-1658
- **Mailing address phone:** (716) 819-5101
- **Mailing address fax:** (716) 819-5099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2009
- **Last updated:** 02/27/2009