Organization · Type 2 NPI
Catholic Guardian Society & Home Bureau
Intellectual Disabilities Intermediate Care Facility · Hampton Bays, NY
NPI number
1063589166
Active
Practice location
235 E Montauk Hwy
Hampton Bays, NY 11946-4127
Fax (631) 728-6506
Mailing address
1011 1st Ave Fl 10
New York, NY 10022-4112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1063589166
Catholic Guardian Society & Home Bureau's National Provider Identifier is 1063589166, issued on Nov 30, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Hampton Bays, NY. The record was last updated on Aug 22, 2020.