Organization
PROVIDENCE REST ADULT DAY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA RIVERA (CFO)
(718) 931-3000
Entity
Organization
Contact information
Practice address
3304 WATERBURY AVE, BRONX, NY 10465-1554
(718) 931-3000
(718) 931-2839
Mailing address
3304 WATERBURY AVE, BRONX, NY 10465-1554
(718) 931-3000
(718) 931-2839
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
7000306N
NY
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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