Organization
TANGLEWOOD MANOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI L INGERSOLL C.O.O. (ADMINISTRATOR)
(716) 483-2876
Entity
Organization
Contact information
Practice address
560 FAIRMOUNT AVENUE, JAMESTOWN, NY 14701-2749
(716) 483-2876
(716) 483-2832
Mailing address
560 FAIRMOUNT AVENUE, JAMESTOWN, NY 14701-2749
(716) 483-2876
(716) 483-2832
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
03A1922
NY
311ZA0620X
Adult Care Home Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01879583
—
NY
Enumeration date
06/07/2007
Last updated
12/03/2025
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