St.dominic's Home

NPI 1174581037 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1174581037
Enumeration Date 05/02/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JUDITH D JUDITH
Position EXECUTIVE DIRECTOR
Phone (845) 359-3400
Fax (845) 359-4253
Practice Location
500 WESTERN HWY
BLAUVELT NY, 10913-2000, US
Phone (845) 359-3400
Fax (845) 359-4253
Business Location
500 WESTERN HWY
BLAUVELT NY, 10913-2000, US
Phone (845) 359-3400
Fax (845) 359-4253
Toxanomy
Taxonomy Code 315P00000X
License State New York
License Number 07159460
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According to our database, St.dominic's Home NPI is 1174581037, taxonomy code is 315P00000X and license number is 07159460, license state is located at New York. St.dominic's Home physically located at 500 Western Hwy, Blauvelt NY, 10913-2000. NPI Number 1033115704 has the healthcare provider type.

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1174581037 NPI number is provided on an as is basis without warranty of any kind. 1174581037 is maintained by the National Plan & Provider Enumeration System. The contents of St.dominic's Home are for informational purposes only.