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NPI Code Detail

MEDICARE: ALEXANDRIA & AKEA'S PLAYHOUSE, INC.

MEDICARE: ALEXANDRIA & AKEA'S PLAYHOUSE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1396123238
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALEXANDRIA & AKEA'S PLAYHOUSE, INC.
Provider Business Mailing Address
First Line : 134 MARINERS LN
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-2548
Country : US
Telephone Number : 347-933-5507
Fax Number :
Provider Business Practice Location Address
First Line : 134 MARINERS LN
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-2548
Country : US
Telephone Number : 347-933-5507
Fax Number :
Authorized Official
Title or Position : PRES/CEO
Name : MS. ANDREA ROBIN ROYAL
Credential :
Telephone Number : 347-933-5507
Provider Enumeration Date : 05/12/2015
Last Update Date : 05/12/2015

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Directions to “ALEXANDRIA & AKEA'S PLAYHOUSE, INC. ” Practice Location

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