Mother Theresa Residence

NPI #1780705384 in Amityville, New York

Provider Information

NPI Number
1780705384
Entity Type
Organization
Organization Name
Mother Theresa Residence
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Apr 2, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
339 COUNTY LINE RD
ZIP Code
11701-2920
Phone
(631) 665-3434

Authorized Official

Name
EDWIN M KENNEDY
Title
CFO
Phone
(516) 733-7000

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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