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St. Theresa's Residence
Intellectual Disabilities Intermediate Care Facility in Mt Vernon, New York
NPI 1275734030

St. Theresa's Residence is a Intellectual Disabilities Intermediate Care Facility based in Mt Vernon, NY. St. Theresa's Residence practices in Mt Vernon, NY. The NPI Number for St. Theresa's Residence is 1275734030 and holds a License No. 7482440 (New York).

The current practice location address for St. Theresa's Residence is 30 S 10Th Ave, Mt Vernon, NY and can be reached out via phone at 914-664-5900.

Location: 30 S 10Th Ave, Mt Vernon, NY, 10550-2907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275734030
Provider Name
St. Theresa's Residence
Credential
Provider Entity Type
Organization
Address
30 S 10Th Ave, Mt Vernon, NY, 10550-2907
Phone Number
914-664-5900
Fax Number
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00729617 05 NY
institution
Provider Business Practice Location Address Details
Address
30 S 10Th Ave
City
Mt Vernon
State
New York
Zip
10550-2907
Phone Number
914-664-5900
Fax Number
person
Provider Business Mailing Address Details
Address
30 S 10Th Ave
City
Mt Vernon
State
New York
Zip
10550-2907
Phone Number
914-664-5900
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
7482440 (New York)
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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