Detox
Detox is a Nursing Facility/Intermediate Care Facility in Staten Island, New York. Licensed in New York. Registered with an NPI since 2011.
- Licensed in
- NY
- In the registry since
- 2011
Practice location Address checks out
214 Charles AveStaten Island, NY 10302-1122
Phone: (347) 401-4659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Facility/Intermediate Care Facility (primary) | Taxonomy 313M00000X · Licence 299428-1 (NY) |
|---|
Record details
| NPI number | 1912275942 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jaime Velez — Lpn · (347) 401-4659 |
| NPI enumerated | December 5, 2011 |
| Last updated in NPPES | December 5, 2011 |
| Mailing address | 214 Charles Ave, Staten Island, NY 10302-1122 |
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