Organization
COLLEGE PARK HEALTHCARE CENTER
Active
Other names
The Waters of Houghton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SMITH (TREASURER)
(716) 805-1474
Entity
Organization
Contact information
Practice address
9876 LUCKEY DR, HOUGHTON, NY 14744-8706
(585) 567-2207
(585) 567-2730
Mailing address
300 GLEED AVE, THE PARK ASSOCIATES, INC., EAST AURORA, NY 14052-2980
(716) 652-2820
(716) 655-2320
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0226301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000315000
BLUE CROSS & BLUE SHIELD
NY
01
—
00011370301
UNIVERA
NY
05
—
01561311
—
NY
01
—
2U
INDEPENDENT HEALTH
NY
Enumeration date
06/04/2006
Last updated
08/01/2008
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