Organization
ORCHARD PARK CCRC, INC.
Active
Other names
Fox Run at Orchard Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L. WLODARCZYK CHIEF FINANCIAL OFFI (CHIEF FINANCIAL OFFICER)
(716) 662-5001
Entity
Organization
Contact information
Practice address
ONE FOX RUN LANE, ORCHARD PARK, NY 14127
(716) 662-5001
(716) 662-6985
Mailing address
ONE FOX RUN LANE, ORCHARD PARK, NY 14127
(716) 662-5001
(716) 662-6985
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02967540
—
NY
Enumeration date
08/28/2007
Last updated
03/08/2011
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