NPI 1114081775

Welllife Network INC

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

Practice location

Address: 1663 Madison St, Ridgewood, NY 11385-3548
Phone: (718) 417-3232
Mailing address: 142-02 20th Avenue, Flushing, NY 11351-9712

Authorised official

Name: Lori Alameda
Title: Senior Vice President - Cfo
Phone: (347) 542-5616

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 00896502 (NY)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in New York →

Registry record

NPI: 1114081775
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.