institution
St.dominic's Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Blauvelt, New York
NPI 1376580092

St.dominic's Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Blauvelt, NY. St.dominic's Home practices in Blauvelt, NY. The NPI Number for St.dominic's Home is 1376580092 and holds a License No. 22280 (New York).

The current practice location address for St.dominic's Home is 500 Western Hwy, Blauvelt, NY and can be reached out via phone at 845-359-3400 and via fax at 845-359-4253.

Location: 500 Western Hwy, Blauvelt, NY, 10913-2000
institution
Provider Profile Details
NPI Number
1376580092
Provider Name
St.dominic's Home
Credential
Provider Entity Type
Organization
Address
500 Western Hwy, Blauvelt, NY, 10913-2000
Phone Number
845-359-3400
Fax Number
845-359-4253
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
01494302 05 NY
institution
Provider Business Practice Location Address Details
Address
500 Western Hwy
City
State
Zip
10913-2000
Phone Number
845-359-3400
Fax Number
845-359-4253
person
Provider Business Mailing Address Details
Address
500 Western Hwy
City
State
Zip
10913-2000
Phone Number
845-359-3400
Fax Number
845-359-4253
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
22280 (New York)
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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