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Ms. Minnie Green
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bronx, New York
NPI 1205000502

Minnie Green is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Bronx, NY. Minnie Green practices in Bronx, NY. The NPI Number for Minnie Green is 1205000502 and holds a License No. (New York).

The current practice location address for Minnie Green is 4446 Hill Ave, Bronx, NY and can be reached out via phone at 917-715-8165.

Location: 4446 Hill Ave, Bronx, NY, 10466-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205000502
Provider Name
Minnie Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
4446 Hill Ave, Bronx, NY, 10466-1136
Phone Number
917-715-8165
Fax Number
Provider Enumeration Date
04/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4446 Hill Ave
City
Bronx
State
New York
Zip
10466-1136
Phone Number
917-715-8165
Fax Number
person
Provider Business Mailing Address Details
Address
4446 Hill Ave
City
Bronx
State
New York
Zip
10466-1136
Phone Number
917-715-8165
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.
()
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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