NPI 1386398121
Integrated Community Living and Participation, INC
Practice location
- Address
- 2333 W Highland St, Allentown, PA 18104-3684
- Phone
- (484) 221-8118
Authorised official
- Name
- Livingstone Gongor
- Title
- Owner/Executuve Director
- Phone
- (484) 347-5652
Registered specialties (4)
Developmentally Disabled Services Day Training Agency
Primary
In Home Supportive Care Agency
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Respite Care
Registry record
- NPI
- 1386398121
- Entity type
- Organization
- NPI issued
- 10 Feb 2022
- Record last updated
- 10 Feb 2022
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.