Independent Group Home Living
Independent Group Home Living is a health care provider in Manorville, NY. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 125 Sebonic Rd, South Hampton, NY 11955, US |
|Practice Location Phone||631-878-8900|
|Practice Location Fax||631-878-8201|
|Legal Business Name||INDEPENDENT GROUP HOME LIVING|
|Enumeration Date ? ||Apr 7, 2008|
|Last Update Date ? ||Apr 7, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Independent Group Home Living
|Specialty||Provider Type||Specialization||License||License State|
|Intermediate Care Facility, Mentally Retarded||Nursing & Custodial Care Facilities|| |
Legacy Provider IDs of Independent Group Home Living
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Independent Group Home Living
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Independent Group Home Living's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Walter W Stockton|
|Authorized Official Title/Position||C.E.O.|
|Authorized Official Phone Number||631-878-8900|