Organization
IRI: INNOVATIVE RESOURCES FOR INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA LULGJURAY (DIRECTOR OF SOCIAL SERVICES)
(718) 805-6796
Entity
Organization
Contact information
Practice address
8045 WINCHESTER BLVD # 004005, QUEENS VILLAGE, NY 11427-2193
(718) 805-6796
Mailing address
11240 FRANCIS LEWIS BLVD, QUEENS VILLAGE, NY 11429-2235
(718) 805-6796
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
02/07/2023
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