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Organization
WELLLIFE NETWORK INC
Active
Organization
WELLLIFE NETWORK INC
Active
Other names
Promoting Specialized Care & Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI ALAMEDA (CFO)
(347) 542-5616
Entity
Organization
Contact information
Practice address
2729 BUTLER ST, EAST ELMHURST, NY 11369-1927
(718) 478-1397
Mailing address
142-02 20TH AVENUE, FLUSHING, NY 11351-9712
(718) 559-0516
(718) 762-6140
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
01141313
NY
Other
Enumeration date
12/20/2006
Last updated
12/16/2020
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