Organization
EVERGREEN ADULT DAY CARE IN NY, INC
Active
Parent organization
EVERGREEN ADULT DAY CARE IN NY, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN ADULT DAY CARE IN NY, INC
Authorized official
SO MI SHIN (PROGRAM DIRECTOR)
(917) 941-4844
Entity
Organization
Contact information
Practice address
15012 ROOSEVELT AVE, FLUSHING, NY 11354-4936
(917) 563-1214
(917) 563-1187
Mailing address
15012 ROOSEVELT AVE, FLUSHING, NY 11354-4936
(917) 563-1214
(917) 563-1187
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
10/22/2025
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