Provider Demographics
NPI:1144643750
Name:TOWN OF HAMBURG ADULT DAY SERVICES
Entity type:Organization
Organization Name:TOWN OF HAMBURG ADULT DAY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-649-6111
Mailing Address - Street 1:353 PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-4717
Mailing Address - Country:US
Mailing Address - Phone:716-646-0255
Mailing Address - Fax:716-646-0240
Practice Address - Street 1:353 PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-4717
Practice Address - Country:US
Practice Address - Phone:716-646-0255
Practice Address - Fax:716-646-0240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care