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Elderberry Icf
Intellectual Disabilities Intermediate Care Facility in Monticello, New York
NPI 1427696061

Elderberry Icf is a Intellectual Disabilities Intermediate Care Facility based in Harris, NY. Elderberry Icf practices in Monticello, NY. The NPI Number for Elderberry Icf is 1427696061 and holds a License No. (New York).

The current practice location address for Elderberry Icf is 15 Poem Place, Monticello, NY and can be reached out via phone at 845-707-8341.

Location: 15 Poem Place, Monticello, NY, 12742-0840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427696061
Provider Name
Elderberry Icf
Credential
Provider Entity Type
Organization
Address
15 Poem Place, Monticello, NY, 12742-0840
Phone Number
845-707-8341
Fax Number
Provider Enumeration Date
12/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74670475 01 NY OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES
institution
Provider Business Practice Location Address Details
Address
15 Poem Place
City
Monticello
State
New York
Zip
12701
Phone Number
845-707-8341
Fax Number
person
Provider Business Mailing Address Details
Address
15 Poem Place
City
Monticello
State
New York
Zip
12701
Phone Number
845-707-8341
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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