INDEPENDENT GROUP HOME LIVING

MIDDLE ISLAND, NY
NPI1538332093
Entity TypeOrganization
Authorized ContactWALTER W. STOCKTON
C.E.O.
631-878-8900
Organization Subpart ?No
Primary Taxonomy315P00000X Intermediate Care Facility, Mentally Retarded
Additional Taxonomies313M00000X Nursing Facility/Intermediate Care Facility
Enumeration Date2008-04-07
Last Update Date2008-04-07
Business Address
INDEPENDENT GROUP HOME LIVING
651 LONGWOOD RD.
MIDDLE ISLAND, NY 11954
Phone number: 631-878-8900
Mailing Address
INDEPENDENT GROUP HOME LIVING
221 N SUNRISE SERVICE RD
MANORVILLE, NY 11949-9604
Phone number: 631-878-8900