Healthcare Provider Details

I. General information

NPI: 1881721611
Provider Name (Legal Business Name): ABSOLUT CENTER FOR NURSING AND REHABILITATION AT ALLEGANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2178 N 5TH ST
ALLEGANY NY
14706-1138
US

IV. Provider business mailing address

300 GLEED AVE
EAST AURORA NY
14052-2980
US

V. Phone/Fax

Practice location:
  • Phone: 716-373-2238
  • Fax: 716-373-2273
Mailing address:
  • Phone: 716-652-2820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0420302N
License Number StateNY

VIII. Authorized Official

Name: MR. ISRAEL SHERMAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 716-652-2820