Organization · Type 2 NPI

Welllife Network Inc

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Ridgewood, NY

NPI number 1114081775 Active

Practice location

1663 Madison St
Ridgewood, NY 11385-3548

Call (718) 417-3232 Map

Mailing address

142-02 20th Avenue
Flushing, NY 11351-9712

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	00896502 (NY)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

NPI record

NPI: 1114081775
Entity type: Organization (Type 2)
Issued: Dec 20, 2006
Last updated: Dec 16, 2020
Status: Active

Other names

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Promoting Specialized Care & Health · doing business as
Promoting Specialized Care & Health · doing business as

Authorized official

Ms. Lori Alameda
Senior Vice President - CFO
(347) 542-5616

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114081775

Welllife Network Inc's National Provider Identifier is 1114081775, issued on Dec 20, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Ridgewood, NY. The record was last updated on Dec 16, 2020.