Mary Agnes Manor

NPI #1487057972 in Buffalo, New York

Provider Information

NPI Number: 1487057972
Entity Type: Organization
Organization Name: Mary Agnes Manor
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Sep 29, 2014
Last Updated: Sep 29, 2014

Practice Location

Address: 307 PORTER AVE
City: Buffalo
State: New York
ZIP Code: 14201-1031
Phone: (716) 881-0565

Authorized Official

Name: MR. DANNY ZYSKIND
Title: ASSISTANT ADMINISTRATOR
Phone: (716) 791-4211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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