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Bustamonte Residence
Intellectual and/or Developmental Disabilities Residential Treatment Facility in West Babylon, New York
NPI 1134240831

Bustamonte Residence is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in West Babylon, NY. Bustamonte Residence practices in West Babylon, NY. The NPI Number for Bustamonte Residence is 1134240831 and holds a License No. 6186452 (New York).

The current practice location address for Bustamonte Residence is 664 Albin Ave, West Babylon, NY and can be reached out via phone at 631-665-3434.

Location: 664 Albin Ave, West Babylon, NY, 11704-7402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134240831
Provider Name
Bustamonte Residence
Credential
Provider Entity Type
Organization
Address
664 Albin Ave, West Babylon, NY, 11704-7402
Phone Number
631-665-3434
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02245930 05 NY
institution
Provider Business Practice Location Address Details
Address
664 Albin Ave
City
West Babylon
State
New York
Zip
11704-7402
Phone Number
631-665-3434
Fax Number
person
Provider Business Mailing Address Details
Address
664 Albin Ave
City
West Babylon
State
New York
Zip
11704-7402
Phone Number
631-665-3434
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
6186452 (New York)
Definition
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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