Organization · Type 2 NPI
State of New York
Intellectual Disabilities Intermediate Care Facility · West Seneca, NY
NPI number
1114067147
Active
Practice location
1278 East & West Rds
West Seneca, NY 14224
Mailing address
44 Holland Ave
Albany, NY 12229-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 00229612 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1114067147
State of New York's National Provider Identifier is 1114067147, issued on Feb 7, 2007. 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 Jun 26, 2008.