Healthcare Provider Details

I. General information

NPI: 1427926419
Provider Name (Legal Business Name): WEDEFINED HOUSING FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 FAIST DR
SPRING VALLEY NY
10977-2901
US

IV. Provider business mailing address

12 FAIST DR
SPRING VALLEY NY
10977-2901
US

V. Phone/Fax

Practice location:
  • Phone: 845-327-6080
  • Fax:
Mailing address:
  • Phone: 845-327-6080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: SIDNEY DELVA
Title or Position: DIRECTOR
Credential:
Phone: 845-327-6080