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(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intermediate Care Facility, Mentally Retarded |
315P00000X | |||
Skilled Nursing Facility |
314000000X | A1[8] | Skilled Nursing Facility |
| NPI Number | 1073778163 |
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| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 07/28/2008 | ||||
| Last updated | 07/09/2024 - More than a year ago | ||||
| Identifiers |
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PAMELA J RUSSELL
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PAMELA J RUSSELL