Organization
QUEENS HERALD COMMUNITY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH LOO (EXECUTIVE DIRECTOR)
(718) 939-3606
Entity
Organization
Contact information
Practice address
6515 164TH ST, FRESH MEADOWS, NY 11365-2651
(646) 389-6418
(646) 349-2318
Mailing address
6515 164TH ST, FRESH MEADOWS, NY 11365-2651
(646) 389-6418
(646) 349-2318
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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