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Organization

DEPAUL DEVELOPMENTAL SERVICES WG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIM WHALEN (VICE PRESIDENT OF FINANCE)
(585) 426-8000
Entity
Organization

Contact information

Practice address
1931 BUFFALO RD, ROCHESTER, NY 14624-1535
(585) 426-8000
Mailing address
1931 BUFFALO RD, ROCHESTER, NY 14624-1535

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01944590
NY
05
02044008
NY
05
02171117
NY
05
02198929
NY
05
02209035
NY
05
02566609
NY
05
02725111
NY
05
02734518
NY
05
02734605
NY
05
02734614
NY
05
02734696
NY
Enumeration date
11/13/2006
Last updated
08/22/2020
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