Organization · Type 2 NPI
Catholic Guardian Society & Home Bureau
Intellectual Disabilities Intermediate Care Facility · New York, NY
NPI number
1215004353
Active
Practice location
107 Payson Ave
New York, NY 10034-2763
Fax (212) 567-5591
Mailing address
1011 1st Ave Fl 10
New York, NY 10022-4112
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.
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About NPI 1215004353
Catholic Guardian Society & Home Bureau's National Provider Identifier is 1215004353, issued on Nov 30, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in New York, NY. The record was last updated on Aug 22, 2020.