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General NPI Number Information
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NPI Number | 1003818618
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Entity Type | Organization
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Legal Business Name | HEATHWOOD HEALTH CARE CENTER, INC.
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 815 HOPKINS RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-2320
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Country | US
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Telephone | 716-688-0111
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Fax | 716-688-7266
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Provider Business Mailing Address
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Address Line | 815 HOPKINS RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-2320
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Country | US
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Telephone | 716-688-0111
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Fax | 716-688-7266
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Authorized Official
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Title or Position | DIRECTOR OF ACCOUNTS RECEIVABLE
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Name | MRS. DARLENE GALE
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Credential |
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Telephone | 716-633-0021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1451302N
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License Number State | NY
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