Sally Mannix

NPI #1780955633 in Moriches, New York

Provider Information

NPI Number
1780955633
Entity Type
Organization
Organization Name
Sally Mannix
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 24, 2012
Last Updated
Jan 24, 2012

Practice Location

Address
8 LILLY CT
ZIP Code
11955-1910
Phone
(631) 835-8580

Authorized Official

Name
MRS. SALLY E MANNIX
Title
LICENSED PRATICAL NURSE
Phone
(631) 835-8580

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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