Organization · Type 2 NPI
United Cerebral Palsy Association of Greater Suffolk, Inc
Intellectual Disabilities Intermediate Care Facility · Lake Grove, NY
NPI number
1154463065
Active
Practice location
39 Lakeside Ave
Lake Grove, NY 11755-1801
Mailing address
250 Marcus Blvd
Hauppauge, NY 11788-2018
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.
Another provider at this address
Other intellectual disabilities intermediate care facility providers in Lake Grove
About NPI 1154463065
United Cerebral Palsy Association of Greater Suffolk, Inc's National Provider Identifier is 1154463065, issued on Feb 14, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lake Grove, NY. The record was last updated on Jul 21, 2015.