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NPI Code Detail

MEDICARE: GRACE MANOR HEALTH CARE FACILITY INC.

MEDICARE: GRACE MANOR HEALTH CARE FACILITY INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093865388
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRACE MANOR HEALTH CARE FACILITY INC.
Provider Business Mailing Address
First Line : 10 SYMPHONY CIR
Second Line :
City : BUFFALO
State : NY
Zip : 14201-1339
Country : US
Telephone Number : 716-884-2474
Fax Number : 716-881-1470
Provider Business Practice Location Address
First Line : 10 SYMPHONY CIR
Second Line :
City : BUFFALO
State : NY
Zip : 14201-1339
Country : US
Telephone Number : 716-884-2474
Fax Number : 716-881-1470
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. CHARLES FERRARO
Credential :
Telephone Number : 716-884-2474
Provider Enumeration Date : 01/11/2007
Last Update Date : 08/22/2020

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Directions to “GRACE MANOR HEALTH CARE FACILITY INC. ” Practice Location

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