Healthcare Provider Details

I. General information

NPI: 1023416328
Provider Name (Legal Business Name): AURORA ADULT DAY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2014
Last Update Date: 12/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 KING ST STE B
EAST AURORA NY
14052-2301
US

IV. Provider business mailing address

101 KING ST STE B
EAST AURORA NY
14052-2301
US

V. Phone/Fax

Practice location:
  • Phone: 716-652-4269
  • Fax: 716-652-5917
Mailing address:
  • Phone: 716-652-4269
  • Fax: 716-652-5917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. KATHLEEN FROST
Title or Position: CO-PRESIDENT, BOARD OF DIRECTORS
Credential:
Phone: 716-652-2621