INDEPENDENT GROUP HOME LIVING is an intermediate care facility mentally retarded in South Hampton, NY. The provider is (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. INDEPENDENT GROUP HOME LIVING NPI is 1275706731. The provider is registered as an organization entity type.
The provider's business location address is:
125 SEBONIC RD
SOUTH HAMPTON, NY
ZIP 11955
Phone: (631) 878-8900
Fax: (631) 878-8201
The provider's authorized official is Walter W Stockton .
The authorized official title is C.e.o. and has the following contact phone number (631) 878-8900.
The enumeration date for this NPI number is 4/7/2008 and was last updated on 4/7/2008.