Organization · Type 2 NPI
State of New York
Intellectual Disabilities Intermediate Care Facility · Norwich, NY
NPI number
1659410470
Active
Practice location
276 Chiarino Dr
Norwich, NY 13815
Mailing address
44 Holland Ave
Albany, NY 12229-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | OMRDD266 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1659410470
State of New York's National Provider Identifier is 1659410470, issued on Feb 6, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Norwich, NY. The record was last updated on Jun 25, 2008.