Organization
BEEBE RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN M KENNEDY (CFO)
(516) 733-7000
Entity
Organization
Contact information
Practice address
662 ALBIN AVENUE, WEST BABYLON, NY 11706
(516) 733-7000
Mailing address
662 ALBIN AVENUE, WEST BABYLON, NY 11706
(516) 733-7000
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
6186452
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6186453
—
NY
Enumeration date
04/23/2007
Last updated
08/22/2020
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