Organization
INSTITUE FOR COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HAZEL IVOLINE FERGUSON (VOCATIONAL EDUCATIONAL SPECIALIST)
(718) 495-0920
Entity
Organization
Contact information
Practice address
2384 ATLANTIC AVE, 4TH FLOOR, BROOKLYN, NY 11233-3402
(718) 495-0920
Mailing address
2384 ATLANTIC AVE, 4TH FLOOR, BROOKLYN, NY 11233-3402
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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