Organization
LIFE'S WORC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEG BARRY (CHIEF FINANCIAL OFFICER)
(516) 741-9000
Entity
Organization
Contact information
Practice address
191 BETHPAGE SWEET HOLLOW RD, OLD BETHPAGE, NY 11804-1314
(516) 870-1527
(516) 870-1528
Mailing address
1501 FRANKLIN AVE, GARDEN CITY, NY 11530-8165
(516) 741-9000
(516) 302-1802
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
7075480
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02700136
—
NY
Enumeration date
02/09/2007
Last updated
08/22/2020
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