Organization
CONESUS LAKE NURSING HOME, LLC
Active
Other names
Conesus Lake Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS L MART (CFO)
(585) 244-0410
Entity
Organization
Contact information
Practice address
6131 BIG TREE RD, LIVONIA, NY 14487-9608
(585) 346-3001
(585) 346-6637
Mailing address
740 EAST AVE, ROCHESTER, NY 14607-2107
(585) 244-0410
(585) 244-1374
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2525300
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355440
—
NY
Enumeration date
06/15/2005
Last updated
10/04/2011
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