Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility | |
Adult Mental Health |
261QM0850X | |||
Intermediate Care Facility, Mentally Retarded |
315P00000X | |||
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI Number | 1407879349 |
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| LBN Legal business name | WENDELL FOSTER'S CAMPUS FOR DEVELOPMENTAL DISABILITIES | ||||||||||||||||||||||||
| Authorized official | SANDY HAYDEN - (VICE PRESIDENT) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 07/25/2006 | ||||||||||||||||||||||||
| Last updated | 04/10/2026 - About 2 months ago | ||||||||||||||||||||||||
| Identifiers |
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