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Organization

SOUTHEAST COMMUNITY WORK CENTER INC

Active
Other names
Southeast Works
Organization subpart
No

Provider details

NPI number
Authorized official
JUDITH A SHANLEY (EXECUTIVE DIRECTOR)
(716) 683-7100
Entity
Organization

Contact information

Practice address
181 LINCOLN STREET, DEPEW, NY 14043-2349
(716) 683-7100
(716) 683-7086
Mailing address
181 LINCOLN STREET, DEPEW, NY 14043-2349
(716) 683-7100
(716) 683-7086

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01670442
NY
05
01736621
NY
05
02002977
NY
05
02169359
NY
05
02256637
NY
05
02663945
NY
05
02693694
NY
Enumeration date
05/01/2008
Last updated
06/27/2008
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Product
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  • Eligibility checks
  • EDI platform