Organization · Type 2 NPI

Catholic Guardian Society & Home Bureau

Intellectual Disabilities Intermediate Care Facility · Staten Island, NY

NPI number 1710054887 Active

Practice location

46 Dresden Pl
Staten Island, NY 10301-4510

Fax (718) 524-0092

Mailing address

1011 1st Ave Fl 10
New York, NY 10022-4112

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 1710054887

Catholic Guardian Society & Home Bureau's National Provider Identifier is 1710054887, issued on Nov 30, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 22, 2020.