Organization
AUTUMN VIEW HEALTH CARE FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH ROSSO (CFO)
(716) 829-1554
Entity
Organization
Contact information
Practice address
4650 SOUTHWESTERN BLVD, HAMBURG, NY 14075-1939
(716) 648-2450
(716) 648-2029
Mailing address
4650 SOUTHWESTERN BLVD, HAMBURG, NY 14075-1939
(716) 648-2450
(716) 648-2029
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1430301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00764181
—
NY
Enumeration date
10/04/2005
Last updated
09/26/2024
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