Park House INC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Old Bethpage, NY. Organization (NPI-2).
Details
- NPI
- 1760635536
- Entity type
- Organization (NPI-2)
- Legal business name
- Park House INC
- Organization subpart
- No
- Enumeration date
- Oct 24, 2008
- Last updated
- Oct 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
191 Sweet Hollow RdOld Bethpage, NY 11804-1342
Phone 516-870-1643 · Fax 516-870-1671
Mailing address
191 Sweet Hollow RdOld Bethpage, NY 11804-1342
Phone 516-870-1643 · Fax 516-870-1671
Authorized official
Craig W Meyer
Assistant Controller
5168701643
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