Tanglewood Manor
Director
							Umamaheswara R Vejendla, M.D.
			Expiration Date
							Phone Number
							(716) 483-2876
			UID (Facility ID - Site ID)
							Y561-0000
			Site ID
							0000
			City
							Jamestown
			CLIA Number
							33D2176080
			Street Address
							560 Fairmount Ave - W E
			State
							NY
			Zip Code
							14701
			County
							Chautauqua
			Country
							United States
			Fax Number
							(716) 483-2832
			Primary Contact
							Terri Ingersoll
			Contact Phone Number
							(716) 483-2876
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Glucose
					Facility ID
							Y561
			