Organization · Type 2 NPI
Independent Group Home Living
Intellectual Disabilities Intermediate Care Facility · Flanders, NY
NPI number
1366615825
Active
Practice location
864 Pleasure Dr
Flanders, NY 11901
Fax (631) 878-8201
Mailing address
221 N Sunrise Service Rd
Manorville, NY 11949-9604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | None listed |
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1366615825
Independent Group Home Living's National Provider Identifier is 1366615825, issued on Apr 7, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Flanders, NY. The record was last updated on Apr 7, 2008.