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Lifespire, Inc.
Intellectual Disabilities Intermediate Care Facility in Woodside, New York
NPI 1912126152

Lifespire, Inc. is a Intellectual Disabilities Intermediate Care Facility based in New York, NY. Lifespire, Inc. practices in Woodside, NY. The NPI Number for Lifespire, Inc. is 1912126152 and holds a License No. 6376400 (New York).

The current practice location address for Lifespire, Inc. is 4029 61St St, Woodside, NY and can be reached out via phone at 718-899-8401.

Location: 4029 61St St, Woodside, NY, 10004-2141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912126152
Provider Name
Lifespire, Inc.
Credential
Provider Entity Type
Organization
Address
4029 61St St, Woodside, NY, 10004-2141
Phone Number
718-899-8401
Fax Number
Provider Enumeration Date
04/25/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
01114992 05 NY
institution
Provider Business Practice Location Address Details
Address
4029 61St St
City
Woodside
State
New York
Zip
11377-4959
Phone Number
718-899-8401
Fax Number
person
Provider Business Mailing Address Details
Address
4029 61St St
City
Woodside
State
New York
Zip
11377-4959
Phone Number
718-899-8401
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
6376400 (New York)
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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