Organization
WEGMAN FAMILY (BROCKPORT) LLC II
Active
Other names
Landing at Brockport
Organization subpart
No
Provider details
NPI number
Authorized official
NOELLE DIAZ BICKEL (LICENSING SPECIALIST)
(206) 298-2909
Entity
Organization
Contact information
Practice address
90 WEST AVE, BROCKPORT, NY 14420-1306
(585) 637-3140
(585) 637-3145
Mailing address
3131 ELLIOTT AVE, SUITE 500, SEATTLE, WA 98121-1044
(206) 298-2909
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
370-S-849
NY
311500000X
Alzheimer Center (Dementia Center)
370-S-849
NY
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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