NPI 1114128550

Family Residencies and Essential Enterprises

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Old Bethpage, NY

Practice location

Address: 191 Bethpage Sweet Hollow Rd, Old Bethpage, NY 11804-1314
Phone: (516) 870-1600
Fax: (516) 870-1671

Authorised official

Name: Barbara Townsend
Title: Ceo
Phone: (516) 870-1600

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1114128550
Entity type: Organization
NPI issued: 31 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.