Organization
OPAL CARE LLC
Active
Other names
Emerald South Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
EILI KAGANOFF (CHEIF OPERATING OFFICER)
(716) 885-6733
Entity
Organization
Contact information
Practice address
1175 DELAWARE AVE, BUFFALO, NY 14209-1401
(716) 885-6733
Mailing address
1175 DELAWARE AVE, BUFFALO, NY 14209-1401
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00475407
—
NY
Enumeration date
08/19/2014
Last updated
08/19/2014
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