Provider Demographics
NPI:1942697891
Name:LIVING IN FREEDOM INX.
Entity Type:Organization
Organization Name:LIVING IN FREEDOM INX.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTCEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DYCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-485-7957
Mailing Address - Street 1:384 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-1911
Mailing Address - Country:US
Mailing Address - Phone:201-485-7957
Mailing Address - Fax:201-485-7958
Practice Address - Street 1:2 BEAM PL
Practice Address - Street 2:
Practice Address - City:HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-1634
Practice Address - Country:US
Practice Address - Phone:973-720-0770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-17
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services