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Organization

C & K 1004 CORP

Active
Other names
EDEN ADULT DAYCARE
Organization subpart
No

Provider details

NPI number
Authorized official
CHOONHEE SONG (OWNER)
(646) 919-8951
Entity
Organization

Contact information

Practice address
4525 162ND ST, FLUSHING, NY 11358-3279
(718) 353-1004
(718) 374-5953
Mailing address
4525 162ND ST, FLUSHING, NY 11358-3279
(718) 353-1004
(718) 374-5953

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
10/25/2022
Last updated
10/25/2022
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