Organization
CATHOLIC HEALTH SYSTEM PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY,
Active
Parent organization
CATHOLOC HEALTH SYSTEM, INC.
Other names
Catholic Health LIFE - Living Independently For Elders
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLOC HEALTH SYSTEM, INC.
Authorized official
CHRISTINE J. KLUCKHOHN (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(716) 604-1842
Entity
Organization
Contact information
Practice address
55 MELROY AVE, LACKAWANNA, NY 14218-1658
(716) 819-5101
(716) 819-5099
Mailing address
55 MELROY AVE, LACKAWANNA, NY 14218-1658
(716) 819-5101
(716) 819-5099
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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