Organization
WEDGEWOOD NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS L MART (CFO)
(585) 244-0410
Entity
Organization
Contact information
Practice address
5 CHURCH ST, SPENCERPORT, NY 14559-1343
(585) 352-4810
(585) 352-1032
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
2722301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474442
—
NY
Enumeration date
06/16/2005
Last updated
10/03/2011
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