Life's Worc

NPI 1073668539 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1073668539
Enumeration Date 01/24/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PEG PEG
Position CHIEF FINANCIAL OFFICER
Phone (718) 525-1086
Fax (718) 276-3173
Practice Location
13136 SPRINGFIELD BLVD
SPRINGFIELD GARDENS NY, 11413-1550, US
Phone (718) 525-1086
Fax (718) 276-3173
Business Location
1501 FRANKLIN AVE
GARDEN CITY NY, 11530, US
Phone (516) 741-9000
Fax (516) 302-1802
Toxanomy
Taxonomy Code 320900000X
License State New York
License Number 7075445
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According to our database, Life's Worc NPI is 1073668539, taxonomy code is 320900000X and license number is 7075445, license state is located at New York. Life's Worc physically located at 13136 Springfield Blvd, Springfield Gardens NY, 11413-1550. NPI Number 1033115704 has the healthcare provider type.

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1073668539 NPI number is provided on an as is basis without warranty of any kind. 1073668539 is maintained by the National Plan & Provider Enumeration System. The contents of Life's Worc are for informational purposes only.