Life Skills Group LLC
In Home Supportive Care in Bay Shore, NY. Organization (NPI-2).
NPI number1316419567
StatusActive
Last updated in NPPESDec 28, 2018
Details
- NPI
- 1316419567
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Skills Group LLC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2018
- Last updated
- Dec 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
274 New Jersey AveBay Shore, NY 11706-3301
Phone 516-859-8859
Mailing address
Po Box 140Farmingville, NY 11738-0140
Phone 516-859-8859
Authorized official
Brian Rogers
President
5168598858
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