ELDERWOOD OF LAKESIDE AT BROCKPORT


Address: 170 West Ave, Brockport, NY 14420-1227

ELDERWOOD OF LAKESIDE AT BROCKPORT (DUNS #081007665) is an entity registered with System for Award Management (SAM). The business start date is January 2, 2018.

Business Overview

DUNS Number 081007665 (Data Universal Numbering System by Dun & Bradstreet)
CAGE Code 81AC8 (Commercial and Government Entity Code by NATO Codification System)
DBA Name ELDERWOOD OF LAKESIDE AT BROCKPORT
Entity Structure 2K - Partnership or Limited Liability Partnership
Physical Address 170 West Ave
Brockport
NY 14420-1227
Mailing Address 170 West Avenue
Brockport
NY 14420-1227
Business Type 2X - For Profit Organization
LJ - Limited Liability Company
Primary NAICS Code 623110 - Nursing Care Facilities (Skilled Nursing Facilities)
Product and Service Code (PSC) Q401 (MEDICAL- NURSING) Healthcare Services
Credit Card Usage N
Debt Subject to Offset N
Incorporation State NY
Congressional District 25
Registration Purpose Z2 - All Awards
Record Status Active
Business Start Date January 2, 2018
Registration Date December 28, 2017
Expiration Date March 2, 2021
Update Date March 2, 2020
Activation Date March 2, 2020
Fiscal Year End Date 1231

Points of Contacts (POC)

Electronic Business POC

Contact Name & Title Kristen Davis (DIRECTOR OF MANAGED CARE CONTRACTING)
Address 500 Seneca Street, Suite 100, Buffalo, NY 14204
Phone Number 7166333903
Email Address [email protected]

Government Business POC

Contact Name & Title Kristen Davis (DIRECTOR OF MANAGED CARE CONTRACTING)
Address 500 Seneca Street, Suite 100, Buffalo, NY 14204
Phone Number 7166333903
Email Address [email protected]

Office Location

Street Address 170 WEST AVE
City BROCKPORT
State NY
Zip Code 14420

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Business Officer

Business Role Name Address

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City BROCKPORT
Zip Code 14420

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Dataset Information

Data Provider System for Award Management (SAM)
Jurisdiction United States

This dataset includes 670 thousands business entities registered with the System for Award Management (SAM), General Services Administration. Each entity is registered with DUNS ID, business name, location, point of contacts, business types, etc.

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