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Edwin Gould Services For Children And Familiesq
Intellectual Disabilities Intermediate Care Facility in Bronx, New York
NPI 1982721197

Edwin Gould Services For Children And Familiesq is a Intellectual Disabilities Intermediate Care Facility based in New York, NY. Edwin Gould Services For Children And Familiesq practices in Bronx, NY. The NPI Number for Edwin Gould Services For Children And Familiesq is 1982721197 and holds a License No. 6009440 (New York).

The current practice location address for Edwin Gould Services For Children And Familiesq is 1128 Sherman Ave, Bronx, NY and can be reached out via phone at 718-992-1310 and via fax at 718-537-7481.

Location: 1128 Sherman Ave, Bronx, NY, 10006-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982721197
Provider Name
Edwin Gould Services For Children And Familiesq
Credential
Provider Entity Type
Organization
Address
1128 Sherman Ave, Bronx, NY, 10006-1705
Phone Number
718-992-1310
Fax Number
718-537-7481
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00357153 05 NY
institution
Provider Business Practice Location Address Details
Address
1128 Sherman Ave
City
Bronx
State
New York
Zip
10456-5002
Phone Number
718-992-1310
Fax Number
718-537-7481
person
Provider Business Mailing Address Details
Address
1128 Sherman Ave
City
Bronx
State
New York
Zip
10456-5002
Phone Number
718-992-1310
Fax Number
718-537-7481
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
6009440 (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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