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Organization

PARK RIDGE NURSING HOME

Active
Parent organization
PARK RIDGE LIVING CENTER
Other names
PRNH non-occupant ADC MSAC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PARK RIDGE LIVING CENTER
Authorized official
JILL GRAZIANO (VP ELDERONE)
(585) 922-2808
Entity
Organization

Contact information

Practice address
2300 BUFFALO RD, BUILDING 600B, ROCHESTER, NY 14624-1360
(585) 368-6470
(585) 368-6471
Mailing address
2300 BUFFALO RD, BUILDING 600B, ROCHESTER, NY 14624-1360
(585) 368-6470
(585) 368-6471

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01186429
NY
Enumeration date
01/08/2007
Last updated
05/28/2020
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