Organization
FUNDACION MODESTO GOTAY PRO PERSONAS CON DISCAPACIDAD INTELECTUAL Y DE
Active
Organization
FUNDACION MODESTO GOTAY PRO PERSONAS CON DISCAPACIDAD INTELECTUAL Y DE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NILKA R. ENCARNACION (ADMINISTRATIVE ASSISTANT)
(787) 761-6244
Entity
Organization
Contact information
Practice address
CARR 876 KM 4.6, BO. LAS CUEVAS, TRUJILLO ALTO, PR 00976-0000
(787) 761-6244
(787) 200-4409
Mailing address
PO BOX 665, TRUJILLO ALTO, PR 00977-0665
(787) 761-6244
(787) 200-4409
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
3
PR
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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