Organization · Type 2 NPI
Sally Mannix
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Moriches, NY
Practice location
8 Lilly Ct
Moriches, NY 11955-1910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
About NPI 1780955633
Sally Mannix's National Provider Identifier is 1780955633, issued on Jan 24, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Moriches, NY. The record was last updated on Jan 24, 2012.