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Organization

REHOBOTH SUPPORT SERVICES LLC

Active
Other names
Rehoboth Support Services LLC
Organization subpart
No

Provider details

NPI number
Authorized official
ADANNA ANOKAM (MANAGING MEMBER)
(631) 575-7047
Entity
Organization

Contact information

Practice address
67 ADIRONDACK DR, SELDEN, NY 11784-3236
(631) 575-7047
Mailing address
67 ADIRONDACK DR, SELDEN, NY 11784-3236
(631) 575-7047

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/22/2025
Last updated
08/25/2025
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