Organization · Type 2 NPI
Fagan Residence
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Elmont, NY
Practice location
1504 Depaul St
Elmont, NY 11003-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 6186445 (NY) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1730209362
Fagan Residence's National Provider Identifier is 1730209362, issued on Mar 29, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Elmont, NY. The record was last updated on Aug 22, 2020.