Organization
BROTHERS OF MERCY NURSING HOME COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE KANE LICENSE 05166 (ITERIM ADMINISTRATOR)
(716) 759-6985
Entity
Organization
Contact information
Practice address
10570 BERGTOLD RD, CLARENCE, NY 14031-2198
(716) 759-6985
(716) 759-2959
Mailing address
10570 BERGTOLD RD, CLARENCE, NY 14031-2198
(716) 759-6985
(716) 759-2959
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03A1672
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00312363
—
NY
Enumeration date
03/31/2006
Last updated
08/22/2020
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