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A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Residential Treatment Facility, Physical Disabilities |
320700000X |
| NPI # | 1467780510 |
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| LBN Legal business name | MADISON RESIDENTIAL CARE FACILITY | ||||
| Authorized official | SY NIKSEFAT - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/01/2009 | ||||
| Last updated | 12/01/2009 - About 17 years ago | ||||
| Identifiers |
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MADISON RESIDENTIAL CARE FACILITY
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MADISON RESIDENTIAL CARE FACILITY