Organization · Type 2 NPI

State of New York

Intellectual Disabilities Intermediate Care Facility · Rome, NY

NPI number 1922148238 Active

Practice location

801 Cypress St
Rome, NY 13440-2129

Mailing address

44 Holland Ave
Albany, NY 12229-0001

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X00273960 (NY)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1922148238

State of New York's National Provider Identifier is 1922148238, issued on Feb 7, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Rome, NY. The record was last updated on Aug 6, 2008.