Organization · Type 2 NPI

State of New York

Intellectual Disabilities Intermediate Care Facility · Wassaic, NY

NPI number 1023159563 Active

Practice location

70 Sinpatch Rd
Wassaic, NY 12592

Call (518) 402-4333 Map

Mailing address

44 Holland Ave
Albany, NY 12229-0001

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X00276639 (NY)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1023159563

State of New York's National Provider Identifier is 1023159563, issued on Feb 9, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Wassaic, NY. The record was last updated on Jun 26, 2008.