Organization
ADULT COMPLEX CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M HETTERICH (SENIOR DIRECTOR OF FINANCE, URMFG)
(585) 756-4008
Entity
Organization
Contact information
Practice address
905 CULVER RD, ROCHESTER, NY 14609-7115
(585) 276-7900
(585) 275-2352
Mailing address
601 ELMWOOD AVE BOX 635, ROCHESTER, NY 14642-0001
(585) 784-9750
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
08/10/2022
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