West Nassau Community Residence

NPI 1568619294 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1568619294
Enumeration Date 08/25/2008
Last Updated 08/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MARY ANN MARY ANN
Position CFO
Phone (516) 285-1511
Fax (516) 285-0983
Practice Location
505 ELMONT RD
ELMONT NY, 11003-4028, US
Phone (516) 285-1511
Fax (516) 285-0983
Business Location
100 E OLD COUNTRY RD
MINEOLA NY, 11501-4633, US
Phone (516) 745-0350
Fax (516) 877-1305
Toxanomy
Taxonomy Code 320800000X
License State New York
License Number 9206008
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According to our database, West Nassau Community Residence NPI is 1568619294, taxonomy code is 320800000X and license number is 9206008, license state is located at New York. West Nassau Community Residence physically located at 505 Elmont Rd, Elmont NY, 11003-4028. NPI Number 1033115704 has the healthcare provider type.

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1568619294 NPI number is provided on an as is basis without warranty of any kind. 1568619294 is maintained by the National Plan & Provider Enumeration System. The contents of West Nassau Community Residence are for informational purposes only.