170 West Avenue Operating Company, LLC
170 West Avenue Operating Company, LLC is a Skilled Nursing Facility in Brockport, New York. Registered with an NPI since 2016.
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
170 W AveBrockport, NY 14420-1227
Phone: (585) 395-6052
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|
Record details
| NPI number | 1245784271 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Rubin — Co- Chief Executive Officer · (716) 817-5075 |
| Other names | Elderwood Of Lakeside At Brockport; Elderwood Of Lakeside At Brockport |
| NPI enumerated | August 8, 2016 |
| Last updated in NPPES | January 19, 2023 |
| Certification date | January 19, 2023 |
| Mailing address | 500 Seneca St Ste 100, Buffalo, NY 14204-1963 |