PRIVATE SELF CARE PROVIDER NPI 1609128487

NPI Information

PRIVATE SELF CARE PROVIDER is a nursing care and pediatric skilled nursing facility in Valley Stream, NY. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. PRIVATE SELF CARE PROVIDER NPI is 1609128487. The provider is registered as an organization entity type.

The provider's business location address is:

53 5TH ST
VALLEY STREAM, NY
ZIP 11581-210
Phone: (347) 267-2991

The provider's authorized official is Jenny P Telfort .
The authorized official title is Rn and has the following contact phone number (347) 267-2991.

The enumeration date for this NPI number is 10/4/2012 and was last updated on 10/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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