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Organization
GAVIA LIFECARE CENTER, LLC
Active
Organization
GAVIA LIFECARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYELLEN DANCE LMHC (EXECUTIVE DIRECTOR)
(585) 371-6464
Entity
Organization
Contact information
Practice address
90 ERIE CANAL DR, ROCHESTER, NY 14626-4610
(585) 371-6464
(585) 371-6464
Mailing address
90 ERIE CANAL DR, ROCHESTER, NY 14626-4610
(585) 371-6464
(585) 371-6464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
06/23/2026
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