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St.dominic's Home
Intellectual Disabilities Intermediate Care Facility in Blauvelt, New York
NPI 1639208572

St.dominic's Home is a Intellectual Disabilities Intermediate Care Facility based in Blauvelt, NY. St.dominic's Home practices in Blauvelt, NY. The NPI Number for St.dominic's Home is 1639208572 and holds a License No. 07159458 (New York).

The current practice location address for St.dominic's Home is 500 Western Hwy, Blauvelt, NY and can be reached out via phone at 845-359-3400 and via fax at 845-359-4253.

Location: 500 Western Hwy, Blauvelt, NY, 10913-2000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639208572
Provider Name
St.dominic's Home
Credential
Provider Entity Type
Organization
Address
500 Western Hwy, Blauvelt, NY, 10913-2000
Phone Number
845-359-3400
Fax Number
845-359-4253
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02839545 05 NY
institution
Provider Business Practice Location Address Details
Address
500 Western Hwy
City
Blauvelt
State
New York
Zip
10913-2000
Phone Number
845-359-3400
Fax Number
845-359-4253
person
Provider Business Mailing Address Details
Address
500 Western Hwy
City
Blauvelt
State
New York
Zip
10913-2000
Phone Number
845-359-3400
Fax Number
845-359-4253
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
07159458 (New York)
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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