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(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intermediate Care Facility, Mentally Retarded |
315P00000X |
| NPI # | 1710150289 |
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| LBN Legal business name | INDEPENDENT GROUP HOME LIVING | ||||
| Authorized official | WALTER STOCKTON - (C.E.O.) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/07/2008 | ||||
| Last updated | 04/07/2008 - About 18 years ago | ||||
| Identifiers |
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INDEPENDENT GROUP HOME LIVING
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| INDEPENDENT GROUP HOME LIVING 65 PINE ST EAST MORICHES, NY |
| INDEPENDENT GROUP HOME LIVING 120 FROWEIN RD EAST MORICHES, NY |
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| MARYHAVEN CENTER OF HOPE INC. 1385 N OCEAN AVENUE MEDFORD, NY |
| STATE OF NEW YORK 85 WEST YAPHANK RD GORDON HEIGHTS, NY |
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| MARYHAVEN CENTER OF HOPE INC. 9 MILLER PLACE ROAD MILLER PLACE, NY |
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INDEPENDENT GROUP HOME LIVING