Organization · Type 2 NPI
State of New York
Intellectual Disabilities Intermediate Care Facility · Celeron, NY
NPI number
1376683367
Active
Practice location
27A Gifford Ave
Celeron, NY 14720
Mailing address
44 Holland Ave
Albany, NY 12229-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 00264040 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1376683367
State of New York's National Provider Identifier is 1376683367, issued on Feb 7, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Celeron, NY. The record was last updated on Jun 26, 2008.