Just Kids

NPI #1548609803 in Coram, New York

Provider Information

NPI Number
1548609803
Entity Type
Organization
Organization Name
Just Kids
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jun 20, 2013
Last Updated
Jun 20, 2013

Practice Location

Address
2111 AVALON PINES DR
City
Coram
ZIP Code
11727-5146
Phone
(631) 708-8403

Authorized Official

Name
MRS. PENNEY R OBRIEN, REGISTERED NURSE
Title
REGISTERED NURSE
Phone
(631) 708-8403

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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