Organization
LIVING OPPORTUNITIES OF DEPAUL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M WHALEN (C.F.O.)
(585) 426-8000
Entity
Organization
Contact information
Practice address
1931 BUFFALO RD, ROCHESTER, NY 14624-1535
(585) 426-8000
Mailing address
2240 OLD UNION ROAD, CHEEKTOWAGA, NY 14227
(716) 608-1000
(716) 608-0132
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01303819
—
NY
05
—
02147193
—
NY
Enumeration date
11/14/2006
Last updated
09/28/2010
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