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1205000502
MINNIE GREEN
BRONX, NY
NPI
1205000502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
2008-04-17
Last Update Date
2008-04-17
Business Address
Ms. MINNIE GREEN
4446 HILL AVE
BRONX, NY 10466-1136
Phone number: 917-715-8165
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Mailing Address
Ms. MINNIE GREEN
4446 HILL AVE
BRONX, NY 10466-1136
Phone number: 917-715-8165
Copy
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