Organization
INSTITUTE FOR COMMUNITY LIVING, INC.
Active
Parent organization
INSTITUTE FOR COMMUNITY LIVING, INC.
Other names
Chronic Illness Demonstration Project
Organization subpart
Yes
Provider details
NPI number
Legal business name
INSTITUTE FOR COMMUNITY LIVING, INC.
Authorized official
MR. DEWEY H. HOWARD (CFO)
(212) 385-3030
Entity
Organization
Contact information
Practice address
40 RECTOR ST, NEW YORK, NY 10006-1705
(212) 385-3030
(212) 385-2380
Mailing address
125 BROAD STREET, 3RD FLOOR, NEW YORK, NY 10004-2400
(212) 385-3030
(917) 831-4451
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
7720470A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01305004
—
NY
Enumeration date
06/11/2009
Last updated
06/17/2015
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