Organization
OLIVE GROVE COMMUNITY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATENAH ADEL ASAD-ABUZAHARIEH (OWNER)
(646) 377-5672
Entity
Organization
Contact information
Practice address
114 MCCLEAN AVE, STATEN ISLAND, NY 10305-4667
(917) 500-0500
Mailing address
114 MCCLEAN AVE, STATEN ISLAND, NY 10305-4667
(917) 500-0500
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
02/26/2026
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