Organization
CHAUTAUQUA COUNTY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY HELLWIG (ADMINISTRATOR)
(716) 366-6400
Entity
Organization
Contact information
Practice address
10836 TEMPLE RD, DUNKIRK, NY 14048-9610
(716) 366-6400
(716) 366-0114
Mailing address
10836 TEMPLE RD, DUNKIRK, NY 14048-9610
(716) 366-6400
(716) 366-0114
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
004729-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004729-1
—
NY
Enumeration date
01/09/2013
Last updated
01/09/2013
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