Organization
112 SKI BOWL ROAD OPERATING COMPANY, LLC
Active
Other names
Elderwood at North Creek
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RUBIN (CO-CHIEF EXECUTIVE OFFICER)
(716) 817-5075
Entity
Organization
Contact information
Practice address
112 SKI BOWL RD, NORTH CREEK, NY 12853-2607
(518) 251-2447
Mailing address
500 SENECA ST STE 100, BUFFALO, NY 14204-1963
(716) 633-3900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
01/19/2023
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