Little Village House, Inc.

NPI 1083754303 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1083754303
Enumeration Date 02/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CARYL CARYL
Position DIRECTOR
Phone (516) 365-4480
Fax (516) 365-4438
Practice Location
150 PORT WASHINGTON BLVD
MANHASSET NY, 11030-1714, US
Phone (516) 365-4480
Fax (516) 365-4438
Business Location
750 HICKSVILLE RD
SEAFORD NY, 11783-1328, US
Phone (516) 520-6000
Fax (516) 520-6080
Toxanomy
Taxonomy Code 315P00000X
License State
License Number
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According to our database, Little Village House, Inc. NPI is 1083754303, taxonomy code is 315P00000X Little Village House, Inc. physically located at 150 Port Washington Blvd, Manhasset NY, 11030-1714. NPI Number 1033115704 has the healthcare provider type.

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1083754303 NPI number is provided on an as is basis without warranty of any kind. 1083754303 is maintained by the National Plan & Provider Enumeration System. The contents of Little Village House, Inc. are for informational purposes only.