Organization
REWARDING ENVIRONMENTS FOR ADULT LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS ARCHIE MA (EXECUTIVE DIRECTOR)
(516) 354-0579
Entity
Organization
Contact information
Practice address
32 BELMONT BLVD, ELMONT, NY 11003-1805
(516) 354-0579
(516) 354-0579
Mailing address
32 BELMONT BLVD, ELMONT, NY 11003-1805
(516) 354-0579
(516) 354-0579
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
03184049
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03184049
—
NY
Enumeration date
09/29/2010
Last updated
09/29/2010
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