Organization
CRYSTAL ADULT SOCIAL DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA RAKHMAN (GENERAL MANAGER)
(917) 674-5788
Entity
Organization
Contact information
Practice address
138-31 QUEENS BLVD, JAMAICA, NY 11435
(718) 642-0011
(718) 558-9290
Mailing address
13831 QUEENS BLVD, JAMAICA, NY 11435-2641
(718) 642-0011
(718) 558-9290
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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