Organization
PEOPLE INC
Active
Other names
People Inc Waterford Park ICF
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN LOOMIS (CONTROLLER)
(716) 817-7452
Entity
Organization
Contact information
Practice address
1219 NORTH FOREST ROAD, WILLIAMSVILLE, NY 14221
(716) 817-7460
(716) 633-1709
Mailing address
1219 NORTH FOREST ROAD, WILLIAMSVILLE, NY 14221
(716) 817-7460
(716) 633-1709
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00625609
—
NY
Enumeration date
11/28/2007
Last updated
11/28/2007
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