Provider Demographics
NPI:1396123238
Name:ALEXANDRIA & AKEA'S PLAYHOUSE, INC.
Entity type:Organization
Organization Name:ALEXANDRIA & AKEA'S PLAYHOUSE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRES/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:ROBIN
Authorized Official - Last Name:ROYAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-933-5507
Mailing Address - Street 1:134 MARINERS LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10303-2548
Mailing Address - Country:US
Mailing Address - Phone:347-933-5507
Mailing Address - Fax:
Practice Address - Street 1:134 MARINERS LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10303-2548
Practice Address - Country:US
Practice Address - Phone:347-933-5507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services