Organization
TO LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EILEEN HOWE BIRD (EXECUTIVE DIRECTOR)
(518) 439-5975
Entity
Organization
Contact information
Practice address
410 KENWOOD AVE, DELMAR, NY 12054-3227
(518) 439-5975
(518) 475-9141
Mailing address
410 KENWOOD AVE, DELMAR, NY 12054-3227
(518) 439-5975
(518) 475-9141
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
A9282
—
332B00000X
Durable Medical Equipment & Medical Supplies
L8000
—
332B00000X
Durable Medical Equipment & Medical Supplies
L8015
—
332B00000X
Durable Medical Equipment & Medical Supplies
L8020
—
332B00000X
Durable Medical Equipment & Medical Supplies
L8030
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10034360
CDPHP
NY
01
—
400930000
BS NENY
NY
Enumeration date
11/13/2006
Last updated
06/14/2023
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