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Mother Theresa Residence
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Amityville, New York
NPI 1780705384

Mother Theresa Residence is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Amityville, NY. Mother Theresa Residence practices in Amityville, NY. The NPI Number for Mother Theresa Residence is 1780705384 and holds a License No. 6186451 (New York).

The current practice location address for Mother Theresa Residence is 339 County Line Rd, Amityville, NY and can be reached out via phone at 631-665-3434. You can also correspond with Mother Theresa Residence through the mailing address at 339 COUNTY LINE RD, AMITYVILLE, NY - 11701-2920 (mailing address contact number: 631-665-3434).

Location: 339 County Line Rd, Amityville, NY, 11701-2920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780705384
Provider Name
Mother Theresa Residence
Credential
Provider Entity Type
Organization
Address
339 County Line Rd, Amityville, NY, 11701-2920
Phone Number
631-665-3434
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02245930 05 NY
institution
Provider Business Practice Location Address Details
Address
339 County Line Rd
City
Amityville
State
New York
Zip
11701-2920
Phone Number
631-665-3434
Fax Number
person
Provider Business Mailing Address Details
Address
339 County Line Rd
City
Amityville
State
New York
Zip
11701-2920
Phone Number
631-665-3434
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
6186451 (New York)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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