| Kaleidoscope Living | |
|
425 Saint Lawrence Ave Lowr Buffalo NY 14216-1418 | |
| (716) 906-7585 | |
| Not Available |
| Full Name | Kaleidoscope Living |
|---|---|
| Speciality | Social Worker |
| Location | 425 Saint Lawrence Ave Lowr, Buffalo, New York |
| Authorized Official Name and Position | Nicole L Jordan (OWNER) |
| Authorized Official Contact | 7169067585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope Living 425 Saint Lawrence Ave Lowr Buffalo NY 14216-1418 Ph: (716) 906-7585 | Kaleidoscope Living 425 Saint Lawrence Ave Lowr Buffalo NY 14216-1418 Ph: (716) 906-7585 |
| NPI Number | 1407559669 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 03/24/2023 |
| Certification Date | 03/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407559669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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