Organization
HERITAGE MANOR OF LOCKPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS JOHN STICH (ADMINISTRATOR)
(716) 433-7626
Entity
Organization
Contact information
Practice address
41 LEXINGTON CT, LOCKPORT, NY 14094-5365
(716) 433-7626
(716) 433-7769
Mailing address
41 LEXINGTON CT, LOCKPORT, NY 14094-5365
(716) 433-7626
(716) 433-7769
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
500-F-093
NY
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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