Provider Demographics
NPI:1275301350
Name:ELMY'S SPECIAL SERVICES INC. II
Entity Type:Organization
Organization Name:ELMY'S SPECIAL SERVICES INC. II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIGHTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-789-7539
Mailing Address - Street 1:604 MARKET ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-2911
Mailing Address - Country:US
Mailing Address - Phone:718-789-7539
Mailing Address - Fax:
Practice Address - Street 1:604 MARKET ST FL 3
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-2911
Practice Address - Country:US
Practice Address - Phone:862-294-4456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services