Organization
LA VIDA ADULT SOCIAL CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADISLAV M. TOLCHEV (MEMBER-MANAGER)
(917) 688-1543
Entity
Organization
Contact information
Practice address
5030 BROADWAY, SUITE # 804, NEW YORK, NY 10034-1609
(917) 688-1543
(917) 688-1542
Mailing address
5030 BROADWAY, SUITE #804, NEW YORK, NY 10034-1609
(917) 688-1543
(917) 688-1542
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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