Organization · Type 2 NPI
Fundacion Modesto Gotay Pro Personas Con Discapacidad Intelectual Y de
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Trujillo Alto, PR
Practice location
Carr 876 Km 4.6, Bo. Las Cuevas
Trujillo Alto, PR 00976-0000
Fax (787) 200-4409
Mailing address
PO Box 665
Trujillo Alto, PR 00977-0665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 3 (PR) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1235580143
Fundacion Modesto Gotay Pro Personas Con Discapacidad Intelectual Y de's National Provider Identifier is 1235580143, issued on Jun 22, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Trujillo Alto, PR. The record was last updated on Jun 22, 2016.