Organization
CHAUTAUQUA ADULT DAY CARE CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK BERCIK (EXECUTIVE DIRECTOR)
(716) 665-4899
Entity
Organization
Contact information
Practice address
358 E 5TH ST, JAMESTOWN, NY 14701-5550
(716) 665-4866
(716) 665-4822
Mailing address
358 E 5TH ST, JAMESTOWN, NY 14701-5550
(716) 665-4899
(716) 665-4822
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02704589
MMIS
—
Enumeration date
11/16/2015
Last updated
11/16/2015
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