Organization
LIFE'S WORC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEG BARRY (CHIEF FINANCIAL OFFICER)
(516) 471-9000
Entity
Organization
Contact information
Practice address
22944 129TH AVE, LAURELTON, NY 11413-1313
(718) 949-7651
(718) 949-7623
Mailing address
1501FRANKLIN AVE, GARDEN CITY, NY 11530-8165
(516) 741-9000
(516) 741-9000
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
7075469
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02252793
—
NY
Enumeration date
02/02/2007
Last updated
08/22/2020
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