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Puerto Rican Family Laconia
Intellectual Disabilities Intermediate Care Facility in New York, New York
NPI 1689864027

Puerto Rican Family Laconia is a Intellectual Disabilities Intermediate Care Facility based in Bronx, NY. Puerto Rican Family Laconia practices in New York, NY. The NPI Number for Puerto Rican Family Laconia is 1689864027 and holds a License No. 06270440 (New York).

The current practice location address for Puerto Rican Family Laconia is 145 W 15Th St Fl 2, New York, NY and can be reached out via phone at 212-414-7822 and via fax at 212-691-5635. You can also correspond with Puerto Rican Family Laconia through the mailing address at 3050 LACONIA AVE, BRONX, NY - 10469-1402 (mailing address contact number: 212-414-7822).

Location: 145 W 15Th St Fl 2, New York, NY, 10469-1402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689864027
Provider Name
Puerto Rican Family Laconia
Credential
Provider Entity Type
Organization
Address
145 W 15Th St Fl 2, New York, NY, 10469-1402
Phone Number
212-414-7822
Fax Number
212-691-5635
Provider Enumeration Date
08/01/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00357135 05 NY
institution
Provider Business Practice Location Address Details
Address
145 W 15Th St Fl 2
City
New York
State
New York
Zip
10011-6701
Phone Number
212-414-7822
Fax Number
212-691-5635
person
Provider Business Mailing Address Details
Address
145 W 15Th St Fl 2
City
New York
State
New York
Zip
10011-6701
Phone Number
212-414-7822
Fax Number
212-691-5635
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
06270440 (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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