Organization
PARK RIDGE NURSING HOME
Active
Organization
PARK RIDGE NURSING HOME
Active
Other names
PRNH non-occupant ADC
Organization subpart
No
Provider details
NPI number
Authorized official
JILL GRAZIANO (VICE-PRESIDENT ELDERONE)
(585) 922-2808
Entity
Organization
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7260
(585) 723-7831
Mailing address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7260
(585) 723-7831
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
2754302N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01186429
—
NY
Enumeration date
04/20/2016
Last updated
05/28/2020
Update your record
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