Organization · Type 2 NPI
Aid To the Developmentally Disabled
Intellectual Disabilities Intermediate Care Facility · Cutchogue, NY
NPI number
1164587069
Active
Practice location
700 Skunk Ln
Cutchogue, NY 11935-1519
Mailing address
901 E Main St, Suite 508
Riverhead, NY 11901-2613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 7569443 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1164587069
Aid To the Developmentally Disabled's National Provider Identifier is 1164587069, issued on Dec 22, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Cutchogue, NY. The record was last updated on Aug 22, 2020.