Whalio Doctors

NPI 1104980614

Welllife Network INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Bayside, NY

Practice location

Address
2614 Bell Blvd, Bayside, NY 11360-2539
Phone
(718) 224-7843
Mailing address
142-02 20th Avenue, Flushing, NY 11351-9712

Authorised official

Name
Lori Alameda
Title
Cfo
Phone
(347) 542-5616

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 01260677 (NY)

Registry record

NPI
1104980614
Entity type
Organization
NPI issued
20 Dec 2006
Record last updated
16 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.