Provider Demographics
NPI:1659681658
Name:HARRIS HILL NURSING FACILITY
Entity Type:Organization
Organization Name:HARRIS HILL NURSING FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMISSION INSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:FLO
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-819-0279
Mailing Address - Street 1:2699 WEHRLE DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7332
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2699 WEHRLE DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7332
Practice Address - Country:US
Practice Address - Phone:716-632-3700
Practice Address - Fax:716-632-5083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-12
Last Update Date:2010-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015742313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility