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General NPI Number Information
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NPI Number | 1013904283
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Entity Type | Organization
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Legal Business Name | HARRIS HILL NURSING FACILITY, LLC
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 2699 WEHRLE DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7332
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Country | US
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Telephone | 716-632-3700
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Fax | 716-632-5083
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Provider Business Mailing Address
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Address Line | 2699 WEHRLE DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7332
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Country | US
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Telephone | 716-632-3700
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Fax | 716-632-5083
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Authorized Official
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Title or Position | CFO
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Name | MR. RALPH ROSSO
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Credential |
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Telephone | 716-829-1554
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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 | 1406301N
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License Number State | NY
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