Healthcare Provider Details

I. General information

NPI: 1326344409
Provider Name (Legal Business Name): HORIZON HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2011
Last Update Date: 02/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6301 INDUCON DRIVE EAST
SANBORN NY
14132
US

IV. Provider business mailing address

6301 INDUCON DRIVE EAST
SANBORN NY
14132
US

V. Phone/Fax

Practice location:
  • Phone: 716-731-2030
  • Fax:
Mailing address:
  • Phone: 716-731-2030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. DIANE MARIE BLY
Title or Position: WELLNESS COUNSELOR
Credential: B.S.
Phone: 716-731-2030