Organization
ACT CARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN M SELFRIDGE (PRESIDENT)
(347) 621-6174
Entity
Organization
Contact information
Practice address
1698 VICTORY BLVD, STATEN ISLAND, NY 10314
(347) 621-6174
Mailing address
1698 VICTORY BOULEVARD, STATEN ISLAND, NY 10314
(347) 621-6174
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/17/2016
Last updated
09/30/2025
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