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Andrea Jolly-labranche
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Elmont, New York
NPI 1023613205

Andrea Jolly-labranche is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Flushing, NY. Andrea Jolly-labranche practices in Elmont, NY. The NPI Number for Andrea Jolly-labranche is 1023613205 and holds a License No. (New York).

The current practice location address for Andrea Jolly-labranche is 40 Elmont Rd, Elmont, NY and can be reached out via phone at 347-542-5644. You can also correspond with Andrea Jolly-labranche through the mailing address at 14202 20TH AVE, FLUSHING, NY - 11351-3000 (mailing address contact number: ).

Location: 40 Elmont Rd, Elmont, NY, 11351-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023613205
Provider Name
Andrea Jolly-labranche
Credential
Provider Entity Type
Individual
Gender
Female
Address
40 Elmont Rd, Elmont, NY, 11351-3000
Phone Number
347-542-5644
Fax Number
Provider Enumeration Date
12/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40 Elmont Rd
City
Elmont
State
New York
Zip
11003-1603
Phone Number
347-542-5644
Fax Number
person
Provider Business Mailing Address Details
Address
40 Elmont Rd
City
Elmont
State
New York
Zip
11003-1603
Phone Number
347-542-5644
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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