Organization
FIVE STAR ADULT DAY CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA ILYAYEV (OWNER)
(718) 662-6424
Entity
Organization
Contact information
Practice address
8246 189TH ST, HOLLIS, NY 11423-1007
(718) 662-6424
Mailing address
8246 189TH ST, HOLLIS, NY 11423-1007
(718) 662-6424
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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