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St. Theresa's Residence

NPI #1275734030 in Mt Vernon, New York

Provider Information

NPI Number
1275734030
Entity Type
Organization
Organization Name
St. Theresa's Residence
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
May 30, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
30 S 10TH AVE
City
Mt Vernon
State
New York
ZIP Code
10550-2907
Phone
(914) 664-5900

Authorized Official

Name
BRUCE ADLER
Title
VICE PRESIDENT OF FINANCE
Phone
(646) 633-4710

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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