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Puero Rican Family Icf # 3
Intellectual Disabilities Intermediate Care Facility in New York, New York
NPI 1699947374

Puero Rican Family Icf # 3 is a Intellectual Disabilities Intermediate Care Facility based in Bronx, NY. Puero Rican Family Icf # 3 practices in New York, NY. The NPI Number for Puero Rican Family Icf # 3 is 1699947374 and holds a License No. 06482441 (New York).

The current practice location address for Puero Rican Family Icf # 3 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.

Location: 145 W 15Th St Fl 2, New York, NY, 10453-2905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699947374
Provider Name
Puero Rican Family Icf # 3
Credential
Provider Entity Type
Organization
Address
145 W 15Th St Fl 2, New York, NY, 10453-2905
Phone Number
212-414-7822
Fax Number
212-691-5635
Provider Enumeration Date
04/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01113304 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.
06482441 (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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