104 OLD NIAGARA ROAD OPERATING COMPANY, LLC
Skilled Nursing Facility
Active
Organization
NPI: 1902339054
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes | - |
Frequently Asked Questions
NPI 1902339054 is the National Provider Identifier for 104 OLD NIAGARA ROAD OPERATING COMPANY, LLC, a Skilled Nursing Facility provider located in Lockport, NY. This NPI was enumerated on April 5, 2017.
Quick Facts
- NPI
- 1902339054
- Type
- Organization
- Enumerated
- Apr 5, 2017
- Last Updated
- Jan 19, 2023
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LOCKPORT PHARMACY INC
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MOUNT VIEW HEALTH FACILITY
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MICHELE JACKSON, OTR/L
Specialist
-
RICHARD JUNKE, M.D.
Family Medicine
-
DAVID RUSSELL, RPA-C
Physician Assistant