Organization
EVERGREEN ADULT DAYCARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEI LIU (DIRECTOR)
(646) 409-5464
Entity
Organization
Contact information
Practice address
3530 JUNCTION BLVD, CORONA, NY 11368-1743
(646) 409-5464
Mailing address
3530 JUNCTION BLVD, CORONA, NY 11368-1743
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
NY
Other
Enumeration date
05/11/2017
Last updated
01/12/2022
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