Organization
ST MARYS MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A DUNLOP JR. (SR. VP/CFO)
(716) 862-2431
Entity
Organization
Contact information
Practice address
291 NORTH ST, BUFFALO, NY 14201-1306
(716) 923-4858
Mailing address
291 NORTH ST, BUFFALO, NY 14201-1306
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00475498
—
NY
Enumeration date
01/05/2010
Last updated
01/05/2010
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