Organization
GRACEFUL AGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADEYINKA T ADEGBENLE MBA (CEO)
(917) 209-6283
Entity
Organization
Contact information
Practice address
881 MERRICK RD, BALDWIN, NY 11510-3331
(917) 209-6283
Mailing address
2620 CENTRAL AVE, BALDWIN, NY 11510-3648
(516) 377-0057
(516) 377-0057
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
NY
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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