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Shaun Johnson
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Valley Stream, New York
NPI 1427224369

Shaun Johnson is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Valley Stream, NY. Shaun Johnson practices in Valley Stream, NY. The NPI Number for Shaun Johnson is 1427224369 and holds a License No. (New York).

The current practice location address for Shaun Johnson is 14 Ivanhoe Pl, Valley Stream, NY and can be reached out via phone at 917-975-3906. You can also correspond with Shaun Johnson through the mailing address at 14 IVANHOE PL, VALLEY STREAM, NY - 11580-2902 (mailing address contact number: 917-975-3906).

Location: 14 Ivanhoe Pl, Valley Stream, NY, 11580-2902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427224369
Provider Name
Shaun Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
14 Ivanhoe Pl, Valley Stream, NY, 11580-2902
Phone Number
917-975-3906
Fax Number
Provider Enumeration Date
04/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14 Ivanhoe Pl
City
Valley Stream
State
New York
Zip
11580-2902
Phone Number
917-975-3906
Fax Number
person
Provider Business Mailing Address Details
Address
14 Ivanhoe Pl
City
Valley Stream
State
New York
Zip
11580-2902
Phone Number
917-975-3906
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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