Organization
LIFE SKILLS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ROGERS (PRESIDENT)
(516) 859-8858
Entity
Organization
Contact information
Practice address
274 NEW JERSEY AVE, BAY SHORE, NY 11706-3301
(516) 859-8859
Mailing address
PO BOX 140, FARMINGVILLE, NY 11738-0140
(516) 859-8859
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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