Organization
AURORA PARK HEALTHCARE CENTER, INC
Active
Other names
The Waters of Aurora Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SMITH (TREASURER)
(716) 805-1474
Entity
Organization
Contact information
Practice address
292 MAIN ST, EAST AURORA, NY 14052-1650
(716) 652-1560
(716) 652-0018
Mailing address
300 GLEED AVE, C/O THE PARK ASSOCIATES, EAST AURORA, NY 14052-2980
(716) 652-2820
(716) 655-2320
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1422301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000281000
BLUE CROSS & BLUE SHIELD
NY
01
—
00011220401
UNIVERA
NY
05
—
00463552
—
NY
01
—
Q9
INDEPENDENT HEALTH1
NY
01
—
V7
INDEPENDENT HEALTH2
NY
Enumeration date
05/24/2006
Last updated
08/01/2008
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