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Private Self Care Provider
Pediatric Skilled Nursing Facility in Valley Stream, New York
NPI 1609128487

Private Self Care Provider is a Pediatric Skilled Nursing Facility based in Valley Stream, NY and is specialized in Nursing Care, Pediatric. Private Self Care Provider practices in Valley Stream, NY. The NPI Number for Private Self Care Provider is 1609128487 and holds a License No. (New York).

The current practice location address for Private Self Care Provider is 53 5Th St, Valley Stream, NY and can be reached out via phone at 347-267-2991.

Location: 53 5Th St, Valley Stream, NY, 11581-1210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609128487
Provider Name
Private Self Care Provider
Credential
Provider Entity Type
Organization
Address
53 5Th St, Valley Stream, NY, 11581-1210
Phone Number
347-267-2991
Fax Number
Provider Enumeration Date
10/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
53 5Th St
City
Valley Stream
State
New York
Zip
11581-1210
Phone Number
347-267-2991
Fax Number
person
Provider Business Mailing Address Details
Address
53 5Th St
City
Valley Stream
State
New York
Zip
11581-1210
Phone Number
347-267-2991
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
()
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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