Organization
DUNDERTY ENTERPRISE LLC.
Active
Organization
DUNDERTY ENTERPRISE LLC.
Active
Other names
dunDerty Enterprise LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD J JORDAN MS (CEO)
(770) 713-9158
Entity
Organization
Contact information
Practice address
119 THOMAS ST, BRENTWOOD, NY 11717-1218
(770) 713-9158
Mailing address
119 THOMAS ST, BRENTWOOD, NY 11717-1218
(770) 713-9158
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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