Organization · Type 2 NPI
Davenport Family Services Inc,
Intellectual Disabilities Intermediate Care Facility · Hempstead, NY
NPI number
1639836372
Active
Practice location
11 Madison Ave
Hempstead, NY 11550-4811
Fax (828) 357-5254
Mailing address
3412 Thistle Bloom Ct
Charlotte, NC 28269-1309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | None listed |
| Adult Care Home Facility | 311ZA0620X | None listed |
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
| Respite Care | 385H00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1639836372
Davenport Family Services Inc,'s National Provider Identifier is 1639836372, issued on Nov 17, 2021. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Hempstead, NY. The record was last updated on Oct 19, 2023.