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Jefferson Rehabilitation Center
Intellectual Disabilities Intermediate Care Facility in Dexter, New York
NPI 1821205584

Jefferson Rehabilitation Center is a Intellectual Disabilities Intermediate Care Facility based in Watertown, NY. Jefferson Rehabilitation Center practices in Dexter, NY. The NPI Number for Jefferson Rehabilitation Center is 1821205584 and holds a License No. 7642450 (New York).

The current practice location address for Jefferson Rehabilitation Center is 301 E Grove St, Dexter, NY and can be reached out via phone at 315-639-6333.

Location: 301 E Grove St, Dexter, NY, 13601-0041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821205584
Provider Name
Jefferson Rehabilitation Center
Credential
Provider Entity Type
Organization
Address
301 E Grove St, Dexter, NY, 13601-0041
Phone Number
315-639-6333
Fax Number
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01214662 05 NY
institution
Provider Business Practice Location Address Details
Address
301 E Grove St
City
Dexter
State
New York
Zip
13634-3147
Phone Number
315-639-6333
Fax Number
person
Provider Business Mailing Address Details
Address
301 E Grove St
City
Dexter
State
New York
Zip
13634-3147
Phone Number
315-639-6333
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
7642450 (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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