Organization · Type 2 NPI
Mako Residence
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Southold, NY
Practice location
380 Eds Rd
Southold, NY 11971-3716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 6186446 (NY) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1164540522
Mako Residence's National Provider Identifier is 1164540522, issued on Mar 26, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Southold, NY. The record was last updated on Aug 22, 2020.