OrganizationActive
Life'S Worc
NPI 1073668539 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Springfield Gardens, NY
Provider details
- NPI number
- 1073668539
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Peg Barry, Chief Financial Officer(516) 741-9000
- License
- 7075445 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 7075445 (NY)
Residential Treatment Facilities
Practice location
13136 Springfield Blvd
Springfield Gardens, NY 11413-1550
Phone: (718) 525-1086
Fax: (718) 276-3173
Approximate (ZIP-level) locationGet directions
Mailing address
1501 Franklin Ave
Garden City, NY 11530
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.