Organization
200 BASSETT ROAD OPERATING COMPANY LLC
Active
Other names
Elderwood at Williamsville
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA GOLUB (PARALEGAL)
(917) 683-0267
Entity
Organization
Contact information
Practice address
200 BASSETT RD, WILLIAMSVILLE, NY 14221-2639
(716) 689-6681
Mailing address
500 SENECA ST STE 100, BUFFALO, NY 14204-1963
(716) 633-3900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1287874
—
NY
Enumeration date
02/12/2012
Last updated
01/17/2023
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