Organization · Type 2 NPI

State of New York

Intellectual Disabilities Intermediate Care Facility · West Seneca, NY

NPI number 1093093031 Active

Practice location

526 Leydecker Rd
West Seneca, NY 14224-3731

Call (716) 675-0367 Map

Mailing address

44 Holland Avenue
Albany, NY 12229-0001

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X0026486 (NY)

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

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About NPI 1093093031

State of New York's National Provider Identifier is 1093093031, issued on Jul 25, 2011. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in West Seneca, NY. The record was last updated on Jul 25, 2011.