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Organization
IRI: INNOVATIVE RESOURCES FOR INDEPENDENCE
Active
Organization
IRI: INNOVATIVE RESOURCES FOR INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MAGALEE (ASSOCIATE EXECUTIVE DIR. OF ADMIN.)
(718) 805-6796
Entity
Organization
Contact information
Practice address
10108 PARK LN S, RICHMOND HILL, NY 11418-1146
(718) 805-6796
(718) 805-4211
Mailing address
112-40 FRANCIS LEWIS BLVD., 2ND FLOOR, QUEENS VILLAGE, NY 11429-2235
(718) 805-6796
(718) 776-2724
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01373404
—
NY
Enumeration date
04/24/2007
Last updated
10/12/2018
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