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COMMUNITY RESOURCE CENTER FOR THE DEVELOPMENTALLY DISABLED, INC.

Intermediate Care Facility, Mental Illness

Bronx, New York

Provider NPI: 1376604553

Organization Information:
Organization Name:  COMMUNITY RESOURCE CENTER FOR THE DEVELOPMENTALLY DISABLED, INC.


Practice Location:
755 E 147TH ST  BRONX, NY 10455 US
Tel: 718-292-1705  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
NY

Other Provider Identifiers:

IssuerNumberStateType
00651776NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS NY - Page 1



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