Organization
ELIM ADULT DAYCARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAN H. LEE (EXECUTIVE OFFICER)
(718) 938-1777
Entity
Organization
Contact information
Practice address
4565 162ND ST, FLUSHING, NY 11358-3157
(718) 938-1777
Mailing address
4565 162ND ST, FLUSHING, NY 11358-3157
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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