OrganizationActive
Life'S Worc
NPI 1699811562 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Rosedale, NY
Provider details
- NPI number
- 1699811562
- 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
- 7075452 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 7075452 (NY)
Residential Treatment Facilities
Practice location
14724 Edgewood St
Rosedale, NY 11422-3208
Phone: (718) 527-2662
Fax: (718) 527-6777
Approximate (ZIP-level) locationGet directions
Mailing address
1501 Franklin Ave
Garden City, NY 11553-8165
Registry dates
- Enumerated
- 2007-01-29
- 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.