Organization
PARK RIDGE LIVING CENTER
Active
Parent organization
PARK RIDGE LIVING CENTER
Other names
PRNH Inc Day Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARK RIDGE LIVING CENTER
Authorized official
SUSAN BOURNE (VP HOME AND COMMUNITY BASED SERVICE)
(585) 368-6454
Entity
Organization
Contact information
Practice address
2260 LAKE AVE, ROCHESTER, NY 14612-5758
(585) 254-8139
Mailing address
2260 LAKE AVE, ROCHESTER, NY 14612-5758
(585) 254-8139
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02728045
—
NY
Enumeration date
01/05/2007
Last updated
01/14/2015
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