OrganizationActive
Life'S Worc
NPI 1831235639 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bayside, NY
Provider details
- NPI number
- 1831235639
- 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
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1815 215th St
Apt 2m
Bayside, NY 11360-2154
Phone: (718) 279-8507
Fax: (718) 423-1616
Approximate (ZIP-level) locationGet directions
Mailing address
1501 Franklin Ave
Garden City, NY 11553-8165
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.