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General NPI Number Information
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NPI Number | 1861487498
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Entity Type | Organization
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Legal Business Name | WNY CATHOLIC LONG TERM CARE, INC.
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 6400 POWERS RD
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City | ORCHARD PARK
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State | NY
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Zip | 14127-4841
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Country | US
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Telephone | 716-667-0001
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Fax | 716-667-0028
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Provider Business Mailing Address
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Address Line | 6400 POWERS RD
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City | ORCHARD PARK
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State | NY
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Zip | 14127-4841
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Country | US
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Telephone | 716-667-0001
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Fax | 716-667-0028
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT HOME AND COMM
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Name | THOMAS GLEASON
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Credential |
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Telephone | 716-706-2439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 1435302N
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1435302N
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License Number State | NY
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