Organization
DEPAUL ADULT COMMUNITY ALP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM M. WHALEN (CFO)
(585) 426-8000
Entity
Organization
Contact information
Practice address
1931 BUFFALO RD, ROCHESTER, NY 14624-1535
(585) 426-8000
Mailing address
1931 BUFFALO RD, ROCHESTER, NY 14624-1535
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02253001
—
NY
Enumeration date
11/20/2006
Last updated
10/07/2010
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