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Independent Group Home Living
Intellectual Disabilities Intermediate Care Facility in Eastport, New York
NPI 1710150289

Independent Group Home Living is a Intellectual Disabilities Intermediate Care Facility based in Manorville, NY. Independent Group Home Living practices in Eastport, NY. The NPI Number for Independent Group Home Living is 1710150289 and holds a License No. (New York).

The current practice location address for Independent Group Home Living is 240 Old Country Rd, Eastport, NY and can be reached out via phone at 631-878-8900 and via fax at 631-878-8201.

Location: 240 Old Country Rd, Eastport, NY, 11949-9604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710150289
Provider Name
Independent Group Home Living
Credential
Provider Entity Type
Organization
Address
240 Old Country Rd, Eastport, NY, 11949-9604
Phone Number
631-878-8900
Fax Number
631-878-8201
Provider Enumeration Date
04/07/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
01224491 05 NY
institution
Provider Business Practice Location Address Details
Address
240 Old Country Rd
City
Eastport
State
New York
Zip
11941
Phone Number
631-878-8900
Fax Number
631-878-8201
person
Provider Business Mailing Address Details
Address
240 Old Country Rd
City
Eastport
State
New York
Zip
11941
Phone Number
631-878-8900
Fax Number
631-878-8201
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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