Organization
CATHOLIC CHARITIES OF THE DIOCESE ROCHESTER INC
Active
Other names
Catholic Charities Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORI VANAUKEN (EXECUTIVE DIRECTOR)
(585) 339-9800
Entity
Organization
Contact information
Practice address
1099 JAY STREET, BUILDING J, ROCHESTER, NY 14611
(585) 339-9800
(585) 339-9377
Mailing address
94 EXCHANGE STREET, GENEVA, NY 14456
(315) 789-1377
(315) 789-4339
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01190629
MEDICAID PROVIDER ID NUMB
NY
Enumeration date
05/04/2007
Last updated
11/08/2016
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