NPI 1174852909

State of New York

Organisation Intellectual Disabilities Intermediate Care Facility Wassaic, NY

Practice location

Address: 50 Cedar Lane, Wassaic, NY 12592
Phone: (518) 402-4333
Mailing address: 44 Holland Avenue, Albany, NY 12229-0001

Authorised official

Name: Karla J Smith
Title: Director of Central Operations
Phone: (518) 402-4333

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 0275787 (NY)

Other Intermediate Care Facility, Intellectual Disabilities providers in New York →

Registry record

NPI: 1174852909
Entity type: Organization
NPI issued: 7 Dec 2009
Record last updated: 7 Dec 2009

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.