Organization · Type 2 NPI

State of New York

Intellectual Disabilities Intermediate Care Facility · Wassaic, NY

NPI number 1487906368 Active

Practice location

22 Sinpatch Rd
Wassaic, NY 12592-2432

Call (518) 402-4333 Map

Fax (518) 408-2465

Mailing address

44 Holland Ave
Albany, NY 12208-3411

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X0275791 (NY)

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

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About NPI 1487906368

State of New York's National Provider Identifier is 1487906368, issued on Oct 3, 2012. 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 Oct 3, 2012.