# WELLLIFE NETWORK INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Promoting Specialized Care & Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083778583
- **Authorized official:** MS. LORI ALAMEDA (SENIOR VICE PRESIDENT - CFP)
- **Authorized official phone:** (347) 542-5616

## Contact information

- **Practice address:** 5232 72ND PL, MASPETH, NY 11378-1516
- **Practice address phone:** (718) 779-7931
- **Mailing address:** 142-02 20TH AVENUE, FLUSHING, NY 11351-9712
- **Mailing address phone:** (718) 559-0516
- **Mailing address fax:** (718) 762-6140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 01203025 | NY | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 12/16/2020