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Jennifer Keller
Physical Disabilities Residential Treatment Facility in Peconic, New York
NPI 1578821385

Jennifer Keller is a Physical Disabilities Residential Treatment Facility based in Cutchogue, NY. Jennifer Keller practices in Peconic, NY. The NPI Number for Jennifer Keller is 1578821385 and holds a License No. 494793 (New York).

The current practice location address for Jennifer Keller is 1190 Arrowhead Ln, Peconic, NY and can be reached out via phone at 631-680-2010.

Location: 1190 Arrowhead Ln, Peconic, NY, 11935-0436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578821385
Provider Name
Jennifer Keller
Credential
Provider Entity Type
Individual
Gender
Female
Address
1190 Arrowhead Ln, Peconic, NY, 11935-0436
Phone Number
631-680-2010
Fax Number
Provider Enumeration Date
04/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1190 Arrowhead Ln
City
Peconic
State
New York
Zip
11958-1602
Phone Number
631-680-2010
Fax Number
person
Provider Business Mailing Address Details
Address
1190 Arrowhead Ln
City
Peconic
State
New York
Zip
11958-1602
Phone Number
631-680-2010
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
494793 (New York)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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