Organization
JAWONIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BLOSS (CHIEF BUSINESS OFFICER)
(845) 708-2000
Entity
Organization
Contact information
Practice address
260 N LITTLE TOR RD, NEW CITY, NY 10956-2627
(845) 639-3524
(845) 639-3525
Mailing address
260 N LITTLE TOR RD, NEW CITY, NY 10956-2627
(845) 639-3524
(845) 639-3525
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00475989
—
NY
Enumeration date
11/07/2006
Last updated
11/16/2017
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