Organization
OUR BROOKLYN HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMANUIL KALENDAREV (MANAGING MEMBER)
(718) 496-3834
Entity
Organization
Contact information
Practice address
1009 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-5659
(718) 496-3834
Mailing address
14731 84TH AVE, JAMAICA, NY 11435-2147
(718) 496-3834
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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