Puerto Rican Family Laconia
Puerto Rican Family Laconia is an Intellectual Disabilities Intermediate Care Facility in New York, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
145 W 15th St Fl 2New York, NY 10011-6701
Phone: (212) 414-7822
Fax: (212) 691-5635
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Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 06270440 (NY) |
|---|
Record details
| NPI number | 1689864027 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karl Cina — Controller · (212) 229-6921 |
| NPI enumerated | August 1, 2007 |
| Last updated in NPPES | March 24, 2008 |
| Mailing address | 3050 Laconia Ave, Bronx, NY 10469-1402 |
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