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Detox
Nursing Facility/Intermediate Care Facility in Staten Island, New York
NPI 1912275942

Detox is a Nursing Facility/Intermediate Care Facility based in Staten Island, NY. Detox practices in Staten Island, NY. The NPI Number for Detox is 1912275942 and holds a License No. 299428-1 (New York).

The current practice location address for Detox is 214 Charles Ave, Staten Island, NY and can be reached out via phone at 347-401-4659.

Location: 214 Charles Ave, Staten Island, NY, 10302-1122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912275942
Provider Name
Detox
Credential
Provider Entity Type
Organization
Address
214 Charles Ave, Staten Island, NY, 10302-1122
Phone Number
347-401-4659
Fax Number
Provider Enumeration Date
12/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
214 Charles Ave
City
Staten Island
State
New York
Zip
10302-1122
Phone Number
347-401-4659
Fax Number
person
Provider Business Mailing Address Details
Address
214 Charles Ave
City
Staten Island
State
New York
Zip
10302-1122
Phone Number
347-401-4659
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
299428-1 (New York)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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