Organization · Type 2 NPI

Integra Wip Member LLC

Pediatric Skilled Nursing Facility · Suffern, NY

NPI number 1073392866 Active

Practice location

351 Spook Rock Rd
Suffern, NY 10901-5307

Specialties and licenses

TaxonomyCodeLicense
Pediatric Skilled Nursing Facility Primary 3140N1450XNone listed

Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

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About NPI 1073392866

Integra Wip Member LLC's National Provider Identifier is 1073392866, issued on Sep 21, 2023. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Suffern, NY. The record was last updated on Sep 21, 2023.