# TAHJA EASON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134597685
- **Authorized official:** MS. TAHJA M EASON (LPN)
- **Authorized official phone:** (585) 734-5436

## Contact information

- **Practice address:** 70 LAKESHIRE RD, ROCHESTER, NY 14612-5222
- **Practice address phone:** (585) 734-5436
- **Mailing address:** 70 LAKESHIRE RD, ROCHESTER, NY 14612-5222
- **Mailing address phone:** (585) 734-5436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 313387 | NY | Yes |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 09/14/2015