Organization · Type 2 NPI
State of New York
Intellectual Disabilities Intermediate Care Facility · Wassaic, NY
NPI number
1174852909
Active
Practice location
50 Cedar Lane
Wassaic, NY 12592
Mailing address
44 Holland Avenue
Albany, NY 12229-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0275787 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1174852909
State of New York's National Provider Identifier is 1174852909, issued on Dec 7, 2009. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Wassaic, NY. The record was last updated on Dec 7, 2009.