Provider Demographics
NPI:1922984434
Name:LIFE STEPS DAY HAB
Entity type:Organization
Organization Name:LIFE STEPS DAY HAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAIBZURD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-626-8000
Mailing Address - Street 1:82 VAN TINES LN
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3901
Mailing Address - Country:US
Mailing Address - Phone:732-688-1900
Mailing Address - Fax:
Practice Address - Street 1:20 JACKSON ST
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2476
Practice Address - Country:US
Practice Address - Phone:732-688-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities