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United Cerebral Palsy Association Of Greater Suffolk, Inc
Intellectual Disabilities Intermediate Care Facility in Lake Grove, New York
NPI 1154463065

United Cerebral Palsy Association Of Greater Suffolk, Inc is a Intellectual Disabilities Intermediate Care Facility based in Hauppauge, NY. United Cerebral Palsy Association Of Greater Suffolk, Inc practices in Lake Grove, NY. The NPI Number for United Cerebral Palsy Association Of Greater Suffolk, Inc is 1154463065 and holds a License No. (New York).

The current practice location address for United Cerebral Palsy Association Of Greater Suffolk, Inc is 39 Lakeside Ave, Lake Grove, NY and can be reached out via phone at 631-232-0011.

Location: 39 Lakeside Ave, Lake Grove, NY, 11788-2018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154463065
Provider Name
United Cerebral Palsy Association Of Greater Suffolk, Inc
Credential
Provider Entity Type
Organization
Address
39 Lakeside Ave, Lake Grove, NY, 11788-2018
Phone Number
631-232-0011
Fax Number
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00692842 05 NY
institution
Provider Business Practice Location Address Details
Address
39 Lakeside Ave
City
Lake Grove
State
New York
Zip
11755-1801
Phone Number
631-232-0011
Fax Number
person
Provider Business Mailing Address Details
Address
39 Lakeside Ave
City
Lake Grove
State
New York
Zip
11755-1801
Phone Number
631-232-0011
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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