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Organization

THE CHURCH HOME OF THE PROTESTANT EPISCOPAL CHURCH IN THE CITY OF ROCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA J MARCELLO CPA (EXECUTIVE VP/CFO)
(585) 546-8400
Entity
Organization

Contact information

Practice address
505 MOUNT HOPE AVE, ROCHESTER, NY 14620-2251
(585) 546-8400
(585) 325-6553
Mailing address
505 MOUNT HOPE AVE, ROCHESTER, NY 14620-2251
(585) 546-8400
(585) 325-6553

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2701339N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00355500
NY
01
103363CI
PREFERRED CARE - SKILLED
NY
01
103363FQ
PREFERRED CARE - THERAPY
NY
01
103363XX
PREFERRED CARE - CUSTODIA
NY
01
3123439
AETNA - COMMERCIAL
NY
01
44
EXCELLUS BC/BS
NY
01
P014015944
BLUE CHOICE THERAPY
NY
01
P015005944
BLUE CHOICE ROOM & BOARD
NY
Enumeration date
07/06/2005
Last updated
05/23/2016
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