Organization
BROOKLYN VILLAGE ADULT DAY CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BAOZHI LIU (OWNER)
(917) 681-8999
Entity
Organization
Contact information
Practice address
857 65TH STREET, 1 FL, BROOKLYN, NY 11220
(718) 680-0303
(718) 680-0311
Mailing address
857 65TH STREET, BROOKLYN, NY 11220
(718) 680-0303
(718) 680-0311
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4965701
SOCIAL ADULT DAY CARE
NY
Enumeration date
08/28/2016
Last updated
08/28/2016
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