Organization
GRACEVILLE ADULT DAY CARE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA YEE WA WU L.AC (DIRECTOR)
(516) 606-3856
Entity
Organization
Contact information
Practice address
1415 CLINTONVILLE ST, WHITESTONE, NY 11357-1825
(516) 606-3856
Mailing address
9 WINTHROP DR, WOODBURY, NY 11797-1318
(516) 606-3856
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
04/23/2016
Last updated
04/23/2016
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