Organization
ST. JOHN'S PENFIELD HOMES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES K RUNYON (CHIEF EXECUTIVE OFFICER)
(585) 760-1202
Entity
Organization
Contact information
Practice address
65 & 75 SONOMA DRIVE, FAIRPORT, NY 14450-2105
(585) 760-1300
Mailing address
150 HIGHLAND AVE, ROCHESTER, NY 14620-3024
(585) 760-1300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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