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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
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