INDEPENDENT GROUP HOME LIVING is an intermediate care facility mentally retarded in Speonk, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. INDEPENDENT GROUP HOME LIVING NPI is 1801069372. The provider is registered as an organization entity type.
The provider's business location address is:
114 N PHILLIPS AVE
SPEONK, NY
ZIP 11972
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.