MEDICAID
Residential Treatment Facilities at Jamaica Ave, Valley Stream, NY

License number
New York 265009
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MRS. MANUELLA SILNE ALLONCE
Title: LICENSE PRACTICAL NURSE
Phone: (516) 812-7614
Address
Address
329 W Jamaica Ave, Valley Stream, NY 11580
National Provider ID: 1609990712
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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