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Lifespire, Inc.
Intellectual Disabilities Intermediate Care Facility in Bayside, New York
NPI 1376755173

Lifespire, Inc. is a Intellectual Disabilities Intermediate Care Facility based in New York, NY. Lifespire, Inc. practices in Bayside, NY. The NPI Number for Lifespire, Inc. is 1376755173 and holds a License No. 7129440 (New York).

The current practice location address for Lifespire, Inc. is 61-56 219Th Street, Bayside, NY and can be reached out via phone at 718-224-2413.

Location: 61-56 219Th Street, Bayside, NY, 10004-2141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376755173
Provider Name
Lifespire, Inc.
Credential
Provider Entity Type
Organization
Address
61-56 219Th Street, Bayside, NY, 10004-2141
Phone Number
718-224-2413
Fax Number
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00357204 05 NY
institution
Provider Business Practice Location Address Details
Address
61-56 219Th Street
City
Bayside
State
New York
Zip
11364
Phone Number
718-224-2413
Fax Number
person
Provider Business Mailing Address Details
Address
61-56 219Th Street
City
Bayside
State
New York
Zip
11364
Phone Number
718-224-2413
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
7129440 ()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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