Organization
NIAGARA LUTHERAN HOME AND REHABILITATION CENTER.INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE J. JANKOWSKI (CHIEF FINANCIAL OFFICER)
(716) 684-0202
Entity
Organization
Contact information
Practice address
64 HAGER ST, BUFFALO, NY 14208-1327
(716) 886-4377
(716) 886-0036
Mailing address
5959 BROADWAY ST, LANCASTER, NY 14086-9523
(716) 684-0202
(716) 206-0484
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00475338
—
NY
Enumeration date
03/28/2006
Last updated
06/24/2015
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