Organization
TANIS PHILLIPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIS JOY PHILLIPS (LPN)
(716) 253-4270
Entity
Organization
Contact information
Practice address
98 CATHEDRAL LN, CHEEKTOWAGA, NY 14225-4612
(716) 253-4270
Mailing address
98 CATHEDRAL LN, CHEEKTOWAGA, NY 14225-4612
(716) 253-4270
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
314090-1
NY
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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