# ELIM ADULT DAYCARE CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386060705
- **Authorized official:** MAN H. LEE (EXECUTIVE OFFICER)
- **Authorized official phone:** (718) 938-1777

## Contact information

- **Practice address:** 4565 162ND ST, FLUSHING, NY 11358-3157
- **Practice address phone:** (718) 938-1777
- **Mailing address:** 4565 162ND ST, FLUSHING, NY 11358-3157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |
| 305R00000X | Preferred Provider Organization | — | NULL | — |

## Other

- **Enumeration date:** 03/10/2014
- **Last updated:** 03/10/2014