Organization · Type 2 NPI

Developmental Disiabilities Institute

Intellectual Disabilities Intermediate Care Facility · Ridge, NY

NPI number 1528233301 Active

Practice location

73 Wading River Hollow Rd
Ridge, NY 11961-2315

Call (631) 366-5876 Map

Fax (631) 366-5893

Mailing address

99 Hollywood Dr
Smithtown, NY 11787-3135

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

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

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About NPI 1528233301

Developmental Disiabilities Institute's National Provider Identifier is 1528233301, issued on Apr 23, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Ridge, NY. The record was last updated on Aug 14, 2015.