MEDICAID is a residential treatment facility, intellectual and/or developmental disabilities in Valley Stream, NY. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. MEDICAID NPI is 1609990712. The provider is registered as an organization entity type.
The provider's business location address is:
329 W JAMAICA AVE
VALLEY STREAM, NY
ZIP 11580-322
Phone: (516) 812-7614
The provider's authorized official is Manuella Silne Allonce .
The authorized official title is License Practical Nurse and has the following contact phone number (516) 812-7614.
The enumeration date for this NPI number is 3/16/2007 and was last updated on 8/22/2020.