Organization
WELLLIFE NETWORK INC
Active
Other names
Promoting Specialized Care & Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI ALAMEDA (SENIOR VICE PRESIDENT - CFO)
(347) 542-5616
Entity
Organization
Contact information
Practice address
4220 149TH ST, FLUSHING, NY 11355-1012
(718) 460-3008
Mailing address
142-02 20TH AVENUE, FLUSHING, NY 11351-9712
(718) 559-0516
(718) 762-6140
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01428082
—
NY
Enumeration date
01/25/2007
Last updated
12/16/2020
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