Organization
CHEMLU DEVELOPMENTAL DISABILITIES CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PINCHES JAKOBOWITZ (EXECUTIVE DIRECTOR)
(845) 774-1422
Entity
Organization
Contact information
Practice address
2 GARFIELD RD STE 301-A, MONROE, NY 10950
(845) 774-1422
(845) 853-1014
Mailing address
PO BOX 2100, MONROE, NY 10949-8600
(845) 774-1422
(845) 783-2237
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
43480
NY
251S00000X
Community/Behavioral Health Agency
1386
NY
251X00000X
Supports Brokerage Agency
43480
NY
253Z00000X
In Home Supportive Care Agency
43480
NY
385H00000X
Respite Care
43480
NY
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
43480
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02382130
—
NY
05
—
02704570
—
NY
Enumeration date
11/04/2014
Last updated
05/15/2018
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