Organization · Type 2 NPI
State of New York
Intellectual Disabilities Intermediate Care Facility · Centereach, NY
NPI number
1821138058
Active
Practice location
206 Oxhead Rd
Centereach, NY 11720-1929
Mailing address
44 Holland Ave
Albany, NY 12229-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 00227848 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
Other intellectual disabilities intermediate care facility providers in Centereach
About NPI 1821138058
State of New York's National Provider Identifier is 1821138058, issued on Feb 7, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Centereach, NY. The record was last updated on Jun 26, 2008.