NPI 1043481831

Heritage Manor of Lockport

Organisation Adult Care Home Facility Lockport, NY

Practice location

Address: 41 Lexington CT, Lockport, NY 14094-5365
Phone: (716) 433-7626
Fax: (716) 433-7769

Authorised official

Name: Louis John Stich
Title: Administrator
Phone: (716) 433-7626

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 500-F-093 (NY)

Other Custodial Care Facility providers in New York →

Registry record

NPI: 1043481831
Entity type: Organization
NPI issued: 19 Mar 2008
Record last updated: 19 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.