Organization · Type 2 NPI

Mission of the Immaculate

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Staten Island, NY

NPI number 1750570495 Active

Practice location

6581 Hylan Blvd
Staten Island, NY 10309-3830

Call (718) 317-2803 Map

Fax (718) 317-2830

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X7943430 (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.

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About NPI 1750570495

Mission of the Immaculate's National Provider Identifier is 1750570495, issued on Oct 18, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Staten Island, NY. The record was last updated on Oct 18, 2007.