Organization
INTEGRATED COMMUNITY LIVING AND PARTICIPATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIVINGSTONE GONGOR (OWNER/EXECUTUVE DIRECTOR)
(484) 347-5652
Entity
Organization
Contact information
Practice address
2333 W HIGHLAND ST, ALLENTOWN, PA 18104-3684
(484) 221-8118
Mailing address
2333 W HIGHLAND ST, ALLENTOWN, PA 18104-3684
(484) 221-8118
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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