Organization · Type 2 NPI
Private Self Care Provider
Pediatric Skilled Nursing Facility · Valley Stream, NY
NPI number
1609128487
Active
Practice location
53 5th St
Valley Stream, NY 11581-1210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | None listed |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
Other pediatric skilled nursing facility providers in Valley Stream
About NPI 1609128487
Private Self Care Provider's National Provider Identifier is 1609128487, issued on Oct 4, 2012. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Valley Stream, NY. The record was last updated on Oct 4, 2012.