Organization
AID TO THE DEVELOPMENTALLY DISABLED, INC
Active
Other names
ADD, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD LEONARD RIEB (EXECUTIVE DIRECTOR)
(631) 727-6220
Entity
Organization
Contact information
Practice address
410 S JAMESPORT AVE, JAMESPORT, NY 11947
(631) 722-5517
Mailing address
901 E MAIN ST, SUITE 508, RIVERHEAD, NY 11901-2613
(631) 727-6220
(631) 727-6553
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
7569442
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01012826
—
NY
Enumeration date
12/26/2006
Last updated
08/22/2020
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