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Delores James
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rosedale, New York
NPI 1699144675

Delores James is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Rosedale, NY. Delores James practices in Rosedale, NY. The NPI Number for Delores James is 1699144675 and holds a License No. 004196 (New York).

The current practice location address for Delores James is 24412 135Th Ave, Rosedale, NY and can be reached out via phone at 718-723-7586.

Location: 24412 135Th Ave, Rosedale, NY, 11422-1604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699144675
Provider Name
Delores James
Credential
Provider Entity Type
Organization
Address
24412 135Th Ave, Rosedale, NY, 11422-1604
Phone Number
718-723-7586
Fax Number
Provider Enumeration Date
09/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
24412 135Th Ave
City
Rosedale
State
New York
Zip
11422-1604
Phone Number
718-723-7586
Fax Number
person
Provider Business Mailing Address Details
Address
24412 135Th Ave
City
Rosedale
State
New York
Zip
11422-1604
Phone Number
718-723-7586
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.
004196 (New York)
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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