NPI 1073668539

Life's Worc

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Springfield Gardens, NY

Practice location

Address: 13136 Springfield Blvd, Springfield Gardens, NY 11413-1550
Phone: (718) 525-1086
Fax: (718) 276-3173
Mailing address: 1501 Franklin Ave, Garden City, NY 11530

Authorised official

Name: Peg Barry
Title: Chief Financial Officer
Phone: (516) 741-9000

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 7075445 (NY)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in New York →

Registry record

NPI: 1073668539
Entity type: Organization
NPI issued: 24 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.