Healthcare Provider Details

I. General information

NPI: 1730171224
Provider Name (Legal Business Name): EPISCOPAL RESIDENTIAL HEALTH CARE FACILITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 RHODE ISLAND ST
BUFFALO NY
14213-2142
US

IV. Provider business mailing address

24 RHODE ISLAND ST
BUFFALO NY
14213-2142
US

V. Phone/Fax

Practice location:
  • Phone: 716-884-8194
  • Fax: 716-614-0815
Mailing address:
  • Phone: 716-884-8194
  • Fax: 716-614-0815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNY

VIII. Authorized Official

Name: MR. JAMES J JULIANO
Title or Position: EXECUTIVE VICE PRESIDENT/CFO
Credential:
Phone: 716-883-7917