FAGAN RESIDENCE
Residential Treatment Facilities at Depaul St, Floral Park, NY

License number
New York 6186445
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: EDWIN M KENNEDY
Title: CFO
Phone: (516) 733-7000
Address
Address
1504 Depaul St, Floral Park, NY 11003
National Provider ID: 1730209362
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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