Organization
NAZARETH HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A DUNLOP CRONE (SR VP FINANCE/CFO)
(716) 862-2431
Entity
Organization
Contact information
Practice address
291 NORTH ST, BUFFALO, NY 14201-1306
(716) 604-1826
(716) 604-1810
Mailing address
291 NORTH ST, BUFFALO, NY 14201-1306
(716) 604-1826
(716) 604-1810
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
1401315N
NY
314000000X
Skilled Nursing Facility
Primary
1401315N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011457601
UNIVERA
NY
05
—
00475310
—
NY
01
—
214
HEALTHNOW
NY
01
—
52
IHA
NY
Enumeration date
09/20/2005
Last updated
02/11/2009
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