Organization
SECOND HOME SOCIAL ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX VISHNEVSKIY (MANAGER)
(718) 517-2400
Entity
Organization
Contact information
Practice address
4102 13TH AVE, BROOKLYN, NY 11219-1389
(718) 517-2400
(718) 484-4017
Mailing address
4102 13TH AVE, BROOKLYN, NY 11219-1389
(718) 517-2400
(718) 484-4017
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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