Organization · Type 2 NPI

State of New York

Intellectual Disabilities Intermediate Care Facility · Wassaic, NY

NPI number 1376683854 Active

Practice location

Route 22
Wassaic, NY 12592

Call (518) 402-4333 Map

Mailing address

44 Holland Ave
Albany, NY 12229-0001

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XOMRDD275 (NY)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1376683854

State of New York's National Provider Identifier is 1376683854, issued on Feb 7, 2007. 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 Jun 25, 2008.