111 Ensminger Road Operating Company, LLC
NPI #1467814632 in Tonawanda, New York
Provider Information
- NPI Number
- 1467814632
- Entity Type
- Organization
- Organization Name
- 111 Ensminger Road Operating Company, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 25, 2016
- Last Updated
- Mar 25, 2016
Practice Location
Authorized Official
- Name
- ROBERT HEYERT
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (917) 690-5914
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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