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Tyra Thomas
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Elmont, New York
NPI 1437754553

Tyra Thomas is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Flushing, NY. Tyra Thomas practices in Elmont, NY. The NPI Number for Tyra Thomas is 1437754553 and holds a License No. (New York).

The current practice location address for Tyra Thomas is 40 Elmont Rd, Elmont, NY and can be reached out via phone at 347-542-5644.

Location: 40 Elmont Rd, Elmont, NY, 11351-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437754553
Provider Name
Tyra Thomas
Credential
Provider Entity Type
Individual
Gender
Female
Address
40 Elmont Rd, Elmont, NY, 11351-3000
Phone Number
347-542-5644
Fax Number
Provider Enumeration Date
12/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40 Elmont Rd
City
Elmont
State
New York
Zip
11003-1603
Phone Number
347-542-5644
Fax Number
person
Provider Business Mailing Address Details
Address
40 Elmont Rd
City
Elmont
State
New York
Zip
11003-1603
Phone Number
347-542-5644
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
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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