MEDICARE: URBAN AFFAIRS 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1477825214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URBAN AFFAIRS INC.

Provider Business Mailing Address
First Line	:	293 VERSAILLES RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14621-1423
Country	:	US
Telephone Number	:	585-771-7514
Fax Number	:

Provider Business Practice Location Address
First Line	:	290-292 NORTH STREET
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14605-3739
Country	:	US
Telephone Number	:	585-771-7514
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. GLENN D ALEXANDER
Credential	:
Telephone Number	:	585-216-5464

Provider Enumeration Date	:	02/08/2012
Last Update Date	:	02/08/2012

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