Organization
ADULTS & CHILDREN W/ LEARNING & DD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN DAVELLA (ACCOUNTS RECEIVABLE SUPERVISOR)
(516) 822-0028
Entity
Organization
Contact information
Practice address
909 MELVILLE ESTATES CT, MELVILLE, NY 11747-2827
(516) 822-0028
Mailing address
807 S OYSTER BAY RD, BETHPAGE, NY 11714-1030
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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