Organization
2850 GRAND ISLAND BOULEVARD OPERATING COMPANY LLC
Active
Other names
Elderwood at Grand Island
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RUBIN (CO-CHIEF EXECUTIVE OFFICER)
(716) 817-5075
Entity
Organization
Contact information
Practice address
2850 GRAND ISLAND BLVD, GRAND ISLAND, NY 14072-1251
(716) 773-5900
Mailing address
500 SENECA ST STE 100, BUFFALO, NY 14204-1963
(716) 633-3900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01148136
—
NY
Enumeration date
02/10/2012
Last updated
01/19/2023
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