Organization
WESTERN NEW YORK INDEPENDENT LIVING, INC.
Active
Other names
The Western New York Independent Living Center, Western New York Independent Living Project, Inc., Independent Living of the Genesee Region, Young Leaders and Advocates Network, Independent Living of Niagara County
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS J USIAK (CEO)
(716) 836-0822
Entity
Organization
Contact information
Practice address
3108 MAIN ST, BUFFALO, NY 14214-1362
(716) 836-0822
(716) 835-3967
Mailing address
3108 MAIN ST, BUFFALO, NY 14214-1306
(716) 836-0822
(716) 835-3967
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02005934
—
NY
05
—
02407789
—
NY
05
—
06275736
—
NY
Enumeration date
05/22/2007
Last updated
10/06/2022
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