Organization
PENFIELD PLACE, LLC
Active
Other names
Penfield Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT W HURLBUT (OWNER/MEMBER)
(585) 244-0410
Entity
Organization
Contact information
Practice address
1700 PENFIELD RD, PENFIELD, NY 14526-2108
(585) 586-7433
(585) 586-7799
Mailing address
740 EAST AVE, ROCHESTER, NY 14607-2107
(585) 244-0410
(585) 244-1208
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2761300
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00922918
—
NY
Enumeration date
06/15/2005
Last updated
09/24/2015
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