Provider Demographics
NPI:1326547969
Name:PERSON CENTERED SERVICES CARE COORDINATION ORGANIZATION LLC
Entity Type:Organization
Organization Name:PERSON CENTERED SERVICES CARE COORDINATION ORGANIZATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KATHRINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PANZARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-324-5100
Mailing Address - Street 1:560 DELAWARE AVENUE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202
Mailing Address - Country:US
Mailing Address - Phone:716-324-5100
Mailing Address - Fax:716-783-9036
Practice Address - Street 1:560 DELAWARE AVENUE
Practice Address - Street 2:SUITE 400
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202
Practice Address - Country:US
Practice Address - Phone:716-324-5100
Practice Address - Fax:716-783-9036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-09
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management